| NPI | 1548626542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JASON KING Physical Therapist 917-648-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027964-1) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |