| NPI | 1619466307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMMEL MILLIAM Physical Therapist 845-673-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-06-16 |