| NPI | 1992994784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA BURDETSKY Physical Therapist 917-804-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01256600) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |