| NPI | 1962943977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO DENNIS SKEETE Physical Therapist Assistant 718-840-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-16 |