| NPI | 1801222500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA EVE VAYNBERG Owner 718-982-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-07-21 |