| NPI | 1720754237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO M. FONTANEZ Physical Therapist/ President 646-737-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-08-30 |