| NPI | 1871781641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W VAN NIEKERK Owner 845-940-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY NYS 016861-1) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-03-19 |