| NPI | 1982202404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA WILLIAMS Physical Therapist/Owner 718-496-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |