| NPI | 1861183675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES BARLE Owner/Physical Therapist 631-846-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |