| NPI | 1659141125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KOHANIM Owner 718-840-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251C2600X |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |