| NPI | 1609230440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAREE LYNETTE ALLGOOD Director/Owner 917-684-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1260250) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2017-05-09 |