| NPI | 1679217368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAOUL Owner 917-723-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |