| NPI | 1528386570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHARMEL MORALES SAMONTE Physical Therapist 516-374-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029130) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2015-08-12 |