| NPI | 1962084012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GRENALD MCDONALD Owner/Physical Therapist 347-400-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |