| 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 |