| NPI | 1730414095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LINCHEVSKAYA Manager 347-492-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251C2600X | |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-21 |