| NPI | 1952519084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARTIN MCKILLOP PT , Owner 914-693-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018137-1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |