| NPI | 1932455748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO NOBLEZA VILLAS President 347-204-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022729) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |