| NPI | 1710296694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VITALES ESCANO Owner 845-775-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027887) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |