| NPI | 1912268319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN JOHN FADUGBA Physical Therapist 516-326-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 017495) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2022-04-04 |