| NPI | 1760883029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN JIMENEZ PT, D PT 917-500-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 021061-1) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |