NPI | 1568679017 |
---|---|
Entity Type | Organization |
Authorized Contact | NOREEN THERESA MAHON Physical Therapist Owner 845-742-8736 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 011257) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |