| NPI | 1912318213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN T. ELLI Physical Therapist 718-975-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028813) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |