| NPI | 1710605811 |
|---|---|
| Doing Business As | THERAYOUTH |
| Entity Type | Organization |
| Authorized Contact | IRINA MARCOFF Owner 516-770-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-31 |