Dynamic Physical Therapy Of Queens PLLC
Clinic/Center, Physical Therapy in Woodside, NY. Organization (NPI-2).
NPI number1609288331
StatusActive
Last updated in NPPESMay 29, 2014
Details
- NPI
- 1609288331
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Physical Therapy Of Queens PLLC
- Organization subpart
- No
- Enumeration date
- May 29, 2014
- Last updated
- May 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Dynamic Pt Of Queens (Doing Business As)
Practice location
5718 Woodside Ave2flr Suite#103
Woodside, NY 11377-3415
Phone 718-205-0030 · Fax 646-304-8252
Mailing address
6248 80th St Fl 2Middle Village, NY 11379-1323
Phone 718-429-2888 · Fax 646-304-8252
Authorized official
Christopher Anthony Bautista
Practice Admnistrator
9143099564
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All 12 Physical Therapy Clinic/Center providers in Woodside · All 1,337 providers in Woodside
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