| NPI | 1801256102 |
|---|---|
| Doing Business As | MDTC |
| Entity Type | Organization |
| Authorized Contact | MAURY DIAZ Owner/Therapist 917-664-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 16398) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL 16398) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |