| 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 |