| NPI | 1922449784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLAIN Manager 914-588-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3560) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-01-15 |