| NPI | 1710585377 |
|---|---|
| Doing Business As | MYPTCOMESTOME |
| Entity Type | Organization |
| Authorized Contact | ILENA KIPNIS Owner 120-175-0670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |