| NPI | 1710284559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER JAY REGANIT TOLENTINO Owner 347-989-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029899) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2012-10-22 |