| NPI | 1790797033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KIBRIK President 917-769-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA 01116300) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-03-09 |