Orthopedic Physical Therapy Pc

NPI 1013974476 - Clinic/Center - 261QP2000X

NPI Details
NPI 1013974476
Enumeration Date 04/28/2006
Last Updated 03/05/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KEVIN KEVIN
Position DIRECTOR
Phone (718) 874-6779
Fax (718) 651-6373
Practice Location
4128 71ST ST
STE CA
WOODSIDE NY, 11377, US
Phone (718) 874-6779
Fax (718) 651-6373
Business Location
4128 71ST ST
STE CA
WOODSIDE NY, 11377, US
Phone (718) 874-6779
Fax (718) 651-6373
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 0192091
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According to our database, Orthopedic Physical Therapy Pc NPI is 1013974476, taxonomy code is 261QP2000X and license number is 0192091, license state is located at New York. Orthopedic Physical Therapy Pc physically located at 4128 71st St, Woodside NY, 11377. NPI Number 1033115704 has the healthcare provider type.

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1013974476 NPI number is provided on an as is basis without warranty of any kind. 1013974476 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopedic Physical Therapy Pc are for informational purposes only.