Functional Physical Therapy Rehab Pc

NPI 1760716047 - Clinic/Center - 261QP2000X

NPI Details
NPI 1760716047
Enumeration Date 09/20/2009
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOAQUIN JOAQUIN
Position PRESIDENT
Phone (718) 424-5151
Fax (718) 424-9119
Practice Location
8131 BAXTER AVE
SUITE CD
ELMHURST NY, 11373-1315, US
Phone (718) 424-5151
Fax (718) 424-9119
Business Location
8131 BAXTER AVE
SUITE CD
ELMHURST NY, 11373-1315, US
Phone (718) 424-5151
Fax (718) 424-9119
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 026983-1
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According to our database, Functional Physical Therapy Rehab Pc NPI is 1760716047, taxonomy code is 261QP2000X and license number is 026983-1, license state is located at New York. Functional Physical Therapy Rehab Pc physically located at 8131 Baxter Ave, Elmhurst NY, 11373-1315. NPI Number 1033115704 has the healthcare provider type.

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1760716047 NPI number is provided on an as is basis without warranty of any kind. 1760716047 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Physical Therapy Rehab Pc are for informational purposes only.