| NPI | 1558718452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS JARAMILLO PT A 646-271-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00291200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01478100) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |