Blueprint Performance Physical Therapy

NPI #1154137131 in Little Neck, New York

Provider Information

NPI Number: 1154137131
Entity Type: Organization
Organization Name: Blueprint Performance Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Dec 5, 2024
Last Updated: Dec 5, 2024

Practice Location

Address: 25316 61ST AVE UNIT 1183
City: Little Neck
State: New York
ZIP Code: 11362-2431
Phone: (917) 685-3336

Authorized Official

Name: DR. SUSAN KANG, PT, DPT, MS
Title: PHYSICAL THERAPIST
Phone: (917) 685-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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