Enhanced Physical Therapy Pc

NPI 1003110164 - Physical Therapist - 225100000X

NPI Details
NPI 1003110164
Enumeration Date 01/04/2011
Last Updated 01/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JACOB JACOB
Position PHYSICAL THERAPY
Phone (718) 743-7090
Fax
Practice Location
12809 LIBERTY AVE
SOUTH RICHMOND HILL NY, 11419-2217, US
Phone (718) 743-7090
Fax
Business Location
12809 LIBERTY AVE
SOUTH RICHMOND HILL NY, 11419-2217, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 026465
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According to our database, Enhanced Physical Therapy Pc NPI is 1003110164, taxonomy code is 225100000X and license number is 026465, license state is located at New York. Enhanced Physical Therapy Pc physically located at 12809 Liberty Ave, South Richmond Hill NY, 11419-2217. NPI Number 1033115704 has the healthcare provider type.

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1003110164 NPI number is provided on an as is basis without warranty of any kind. 1003110164 is maintained by the National Plan & Provider Enumeration System. The contents of Enhanced Physical Therapy Pc are for informational purposes only.