| NPI | 1689002842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSEOK PARK Physical Therapist 718-633-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024040) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |