| NPI | 1669237038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VARONA Senior Application Anayst 914-378-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |