360 Wellness Pt PLLC
Physical Therapist in Brooklyn, NY. Organization (NPI-2).
NPI number1548970635
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1548970635
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Wellness Pt PLLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
271 86th St Apt 2Brooklyn, NY 11209-4918
Phone 347-210-7348
Mailing address
271 86th St Apt 2Brooklyn, NY 11209-4918
Authorized official
Abdurrahman Abushady
President
3472107348
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