| NPI | 1609346477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANICO SANIEL Physical Therapist/President 917-776-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-12-01 |