| NPI | 1568590198 |
|---|---|
| Doing Business As | PHYSIO SPORTS CENTER WEST |
| Entity Type | Organization |
| Authorized Contact | ANN TERESA GOW Director 212-877-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 012458) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-05-09 |