| NPI | 1578798484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNEDY OPOKU Director 718-812-7082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |