| NPI | 1518332410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NONYELUM MOMAH President 718-210-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY PT013295) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NY PT013295) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |