NPI | 1538573126 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENDA CASTANEDA Sole Proprietor 516-343-0867 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 017219-1) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |