| NPI | 1649961772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ARK REYES PIAD President 718-442-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |