| NPI | 1801171822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADYBIRD MANANGAN REYES President 347-810-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017803) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2012-02-21 |