NPI | 1982076717 |
---|---|
Entity Type | Organization |
Authorized Contact | HYOUNGJOON KIM Owner 347-535-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033514) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2020-10-16 |