| NPI | 1538506175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY CHANG Owner 646-493-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 033956) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |