| NPI | 1730341504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH CARR-MCCREIGHT Managing Member 631-220-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014003) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010893-1) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 010893-1) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-02 |