| NPI | 1538129598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MEADOR Physical Therapist 212-517-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0085661) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-10-24 |