| NPI | 1962883900 |
|---|---|
| Doing Business As | THEMEDISPA |
| Entity Type | Organization |
| Authorized Contact | RICHARD SANSARICQ Managing Member/CEO 917-907-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2016-11-01 |