Active United Care Physical Therapy, PLLC
Physical Therapist in Jamaica, NY. Organization (NPI-2).
NPI number1427661065
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1427661065
- Entity type
- Organization (NPI-2)
- Legal business name
- Active United Care Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
17119 Hillside AveJamaica, NY 11432-4548
Phone 516-710-6965
Mailing address
22 Glenn DrWoodbury, NY 11797-2104
Phone 516-710-6965
Authorized official
George Tawdros
Pesident
5167106965
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