NPI | 1548956915 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BRUSH Manager Of Credentialing 631-359-5859 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |