| NPI | 1972878189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA DVORIN Owner/President 718-871-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032199) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |