| NPI | 1861019978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIAN MARCIAL President 917-455-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |