| NPI | 1952885980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL BREX ROA CAYETUNA Physical Therapist 646-714-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2018-09-15 |