| NPI | 1922285204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN DISTEFANO Physical Therapist 845-297-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 5069) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-05-06 |