| NPI | 1679123491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAURIS DE JESUS TAVAREZ MARTE Owner/Therapist 917-741-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |