| NPI | 1659166411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIALEE ROY Owner/Director 302-540-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |