| NPI | 1619398674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO NOBLEZA VILLAS Owner 718-891-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022729-1) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |