| NPI | 1811387459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA POPA RICKETTS Authorized Official 212-767-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-05-14 |