Fresh Pond Physical Therapy Jackson Heights, Pc.
NPI #1093111023 in Jackson Heights, New York
Provider Information
- NPI Number
- 1093111023
- Entity Type
- Organization
- Organization Name
- Fresh Pond Physical Therapy Jackson Heights, Pc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 19, 2014
- Last Updated
- May 20, 2016
Practice Location
- Address
- 9216 ROOSEVELT AVE
- City
- Jackson Heights
- State
- New York
- ZIP Code
- 11372-7942
- Phone
- (718) 456-2545
Authorized Official
- Name
- LIZA TAN
- Title
- PRESIDENT
- Phone
- (718) 456-2545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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