| NPI | 1679130405 |
|---|---|
| Other Name | SPROUT THERAPY GROUP - STATEN ISLAND |
| Entity Type | Organization |
| Authorized Contact | ED RUDIN Chief Executive Officer 732-422-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |