NPI | 1700324407 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BRUSH Credentialing 718-819-6805 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |