| NPI | 1730705799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLANN CRAIG GERMANN Managing Member 516-603-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |