| NPI | 1750817318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHI MAN HUNG Owner 510-301-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00722000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016652) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-05-11 |