| NPI | 1578002739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN PRONIEWYCH Owner/Director 347-688-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035654-1) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |