| NPI | 1972872588 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ILYA TEREKHOV AKA PERLOFF Physical Therapist/President 718-282-3311 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034432) | 
| Enumeration Date | 2011-12-28 | 
| Last Update Date | 2011-12-28 |