| NPI | 1629416599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL KHROMCHENKO Medical Director 347-462-4876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00840600) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-08-09 |