| NPI | 1912245192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S EISEN Owner/Physical Therapist 917-855-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60046366) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |