| NPI | 1932521622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HIRMES Owner 516-500-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034462) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 018603) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2015-06-01 |