| NPI | 1982267654 |
|---|---|
| Other Name | PARK SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BORIS GILZON Member 917-833-1273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |