| NPI | 1669162608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIN GUARDASCIONE Administrator 646-721-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-01-24 |