| NPI | 1962802827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO C PENNELLA Partner 917-299-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 03846489) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225200000X Physical Therapy Assistant (Licence: CT 000430) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |