| NPI | 1801913330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRUSH Regional Business Manager 631-359-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012833) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-03-29 |