| NPI | 1972017382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURE SEVERE Physical Therapist 917-727-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033737) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-07-13 |