| NPI | 1932624921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE TIMBREZA Owner Of Entity 917-916-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028423) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |