| NPI | 1740621697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM HANNA Owner/Physical Therapist 917-545-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 025663) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 021421) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2016-03-01 |