NPI | 1588804967 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELL NATIVIDAD Physical Therapist 5162-857-6005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 028628) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2009-02-25 |