| NPI | 1871829721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BERKLEY Owner/President 631-467-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |