| NPI | 1710381017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE A BRADNOCK Physical Therapist Assistant 347-357-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 002442) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |