| NPI | 1992391148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICSON NAVARRO President 347-819-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-03-19 |