| NPI | 1790927184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALEE KAN Owner 347-816-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 019879-1) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2025-12-31 |