| NPI | 1578453817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M PREOLO Senior Director, Credentialing 914-608-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |