| NPI | 1932428745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA RAE WISNIEWSKI Owner 845-345-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020119-1) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |