| NPI | 1932856366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEENIE LADAO-SOTO Owner 917-444-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |