| NPI | 1548242407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E WAAGE Physical Therapist 718-848-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 003824) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-06-19 |