| NPI | 1689979908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJAN JOHNSON Physical Therapist 516-946-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024884-1) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |