| 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 |