| NPI | 1841415643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAK BAKHSHOUDEH Owner President 516-635-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015236-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-11-19 |