| NPI | 1508844036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY TAN Billing & Collection De PT. Head 718-456-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 015401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 015401) |
| 2251C2600X Physical Therapist, Cardiopulmonary | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251H1200X Physical Therapist, Hand | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2251H1300X Physical Therapist, Human Factors | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-05-20 |