| NPI | 1760938088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATILDA ABIMBOLA ABIOLA Registered Physical Therapist 917-412-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 015651) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |