| NPI | 1619251121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBIKA DEVACAANTHAN Physical Therapist 347-850-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY PT 030235) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |