| NPI | 1558590885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY BAUTISTA Sole Proprietor 914-309-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024014) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |