| NPI | 1992173140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINNA DANCOURT Occupational Therapist 212-877-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011923) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 023085-1) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |