| NPI | 1821158304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN W ROWELL Physical Therapist 516-739-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 01316001) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-11-18 |