| NPI | 1699152439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGWOO MAH CEO 718-746-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |