| NPI | 1891220968 |
|---|---|
| Former Legal Business Name | MGH PHYSICAL THERAPY PC |
| Entity Type | Organization |
| Authorized Contact | MARIOS HARITOS Owner 917-578-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-07-17 |