| NPI | 1790945020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS TURCIOS Operating Manager 917-412-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 009103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019237) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |