| NPI | 1568714384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZAL AGAZAROVA CEO/ Physical Therapist 718-908-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032297-1) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2014-06-12 |