| NPI | 1598150567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSELL GUERRERO Credentialing COO Rdinator 347-843-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036863) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |