| NPI | 1568906022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG NICOLE TYNER Owner 516-521-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0397071) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2022-12-16 |