| NPI | 1790013282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BODIAN Owner 718-692-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2024-11-07 |