| NPI | 1841331543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANTHONY MILLAN President 718-494-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 003366-1) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-07-07 |