Orthopedic Physical Therapy PC
Clinic/Center, Physical Therapy in Woodside, NY. Organization (NPI-2).
NPI number1013974476
StatusActive
Last updated in NPPESMar 5, 2013
Details
- NPI
- 1013974476
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopedic Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2006
- Last updated
- Mar 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 0192091 | NY | Yes |
Practice location
4128 71st StSte Ca
Woodside, NY 11377
Phone 718-874-6779 · Fax 718-651-6373
Mailing address
4128 71st StSte Ca
Woodside, NY 11377
Phone 718-874-6779 · Fax 718-651-6373
Authorized official
Kevin Wong
Director
7188746779
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All 12 Physical Therapy Clinic/Center providers in Woodside · All 1,337 providers in Woodside
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