| NPI | 1891446399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURO HERNANDEZ REYES Owner/CFO 845-300-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |