| NPI | 1902195506 |
|---|---|
| Doing Business As | AGEWELL SOUTH |
| Entity Type | Organization |
| Authorized Contact | JOHN DRAGAN Co Owner 914-318-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT 26314) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2012-02-16 |