| NPI | 1962143123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA ANN GRAHAM Physical Therapist 347-414-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2025-04-27 |