| NPI | 1730460502 |
|---|---|
| Doing Business As | RUN JUMP ROLL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY LAING Principal 917-579-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 023557) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |