Stay Active Physical Therapy, Pllc

NPI #1003441098 in Brooklyn, New York

Provider Information

NPI Number: 1003441098
Entity Type: Organization
Organization Name: Stay Active Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 10, 2020
Last Updated: Mar 10, 2020

Practice Location

Address: 297 BAY 20TH ST APT 2
City: Brooklyn
State: New York
ZIP Code: 11214-6011
Phone: (917) 915-3894

Authorized Official

Name: ALEXANDER AKSANOV, DPT
Title: PRESIDENT
Phone: (917) 915-3894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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