| NPI | 1528210390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MILLER Owner, PT 631-630-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024623) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-11-19 |