EXECUTIVE PHYSICAL THERAPY PT

JACKSON HEIGHTS, NY
NPI1497027700
Entity TypeOrganization
Authorized ContactMARTHA CECULIA ANIBAL
Physical Therapy Administrator
718-426-1515
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2012-02-01
Last Update Date2013-02-22
Business Address
EXECUTIVE PHYSICAL THERAPY PT
7802 ROOSEVELT AVE STE 212
JACKSON HEIGHTS, NY 11372-6626
Phone number: 718-426-1515
Mailing Address
EXECUTIVE PHYSICAL THERAPY PT
7802 ROOSEVELT AVE STE 212
JACKSON HEIGHTS, NY 11372-6626
Phone number: 718-426-1515