| NPI | 1801144571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINSIK RYU Director 917-584-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01355700) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |