| 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 |