| NPI | 1710119334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM CP JOHNSON Physical Therapist/Director 917-682-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 023595-1) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2009-08-15 |