| NPI | 1578810776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JO EWING Owner 917-336-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2024-04-30 |