| NPI | 1629442793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY TAN Billing & Collection De PT. Head 718-456-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-05-20 |