| NPI | 1912485707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FRADKIN Physical Therapist 267-255-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292931) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-01-22 |