| NPI | 1821749813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED M ABOZEID Owner 917-607-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |