| NPI | 1629414586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE POBLETE PASADILLA President 718-886-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024080) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |