| NPI | 1902065196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIOS KOSTOPOULOS Owner 718-707-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0111881) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |