| NPI | 1750615589 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | LILIANA MAIGUEL Physical Therapist 718-761-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028445) |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2009-09-26 |