| NPI | 1831868256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND CASINO PAQUEO President/Physical Therapy Provider 646-431-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-17 |