| NPI | 1871209023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER SHERIDAN Owner/Physical Therapist 516-356-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-05-06 |