| NPI | 1952746448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WARNER President 646-470-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025701) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: 017303) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2019-10-07 |