NPI | 1821501404 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BRUSH Credentialing Manager 631-359-5859 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-11-06 |
Last Update Date | 2018-04-02 |