| NPI | 1902166028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELAIDA MIJOS LAGA Physical Therapist 718-205-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031067-1) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-06-15 |