| NPI | 1780380154 |
|---|---|
| Doing Business As | PELEX |
| Entity Type | Organization |
| Authorized Contact | JEREMY WIYGUL Medical Director 347-684-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |