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 |