| NPI | 1568835601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DIGIULIO Physical Therapist 267-408-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA 022980) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA DAPT003270) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |