| NPI | 1568786945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M MARTIN Physical Therapist/President 631-838-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 013992) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |