NPI | 1649703893 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN M KING Owner 631-255-5044 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 43538) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |