| NPI | 1962799361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL MANJOORSA Physical Therapist/ Director 347-968-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027648) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-01-17 |