A List Physical Therapy PC

NPI #1013310481 in Forest Hills, New York

Provider Information

NPI Number
1013310481
Entity Type
Organization
Organization Name
A List Physical Therapy PC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Sep 30, 2014
Last Updated
Sep 30, 2014

Practice Location

Address
11949 UNION TPKE APT 4C
ZIP Code
11375-6109
Phone
(646) 208-6108

Authorized Official

Name
AVELINO VERGARA DE CHAVEZ, PT
Title
PRESIDENT
Phone
(646) 208-6108

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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