| NPI | 1649471442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA MARCOFF Physical Therapist 516-770-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01647900) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-07-21 |