| NPI | 1659611283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL CAMPO Physical Therapist 917-696-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |