| NPI | 1710373220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEONGYONG HEO Physical Therapist 917-600-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032831) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-13 |