| NPI | 1891217899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANCINI Owner/Physical Therapist 631-522-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 020597) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |