| NPI | 1720818115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN APOLLO KENNEDY Co Found, Chief Clinical Officer 201-233-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |