Functional Lifestyles Physical And Occupational Therapy Pllc

NPI 1790945020 - Physical Therapist - 225100000X

NPI Details
NPI 1790945020
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JUAN CARLOS JUAN
Position OPERATING MANAGER
Phone (917) 412-7506
Fax
Practice Location
19911 33RD AVE
FLUSHING NY, 11358-1905, US
Phone (917) 412-7506
Fax
Business Location
19911 33RD AVE
FLUSHING NY, 11358-1905, US
Phone (917) 412-7506
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 019237
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According to our database, Functional Lifestyles Physical And Occupational Therapy Pllc NPI is 1790945020, taxonomy code is 225100000X and license number is 019237, license state is located at New York. Functional Lifestyles Physical And Occupational Therapy Pllc physically located at 19911 33rd Ave, Flushing NY, 11358-1905. NPI Number 1033115704 has the healthcare provider type.

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1790945020 NPI number is provided on an as is basis without warranty of any kind. 1790945020 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Lifestyles Physical And Occupational Therapy Pllc are for informational purposes only.