| NPI | 1760979009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE BAUTISTA TERRADO Owner 646-799-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028880) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |