| NPI | 1679260491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EDWARD WONG Physical Therapist 718-541-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |