| NPI | 1639964034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWINKLE V SHAH Owner / Director / Secretary 516-800-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |