Great Western Physical Therapy PC
NPI #1174162440 in Astoria, New York
Provider Information
- NPI Number
- 1174162440
- Entity Type
- Organization
- Organization Name
- Great Western Physical Therapy PC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jan 3, 2020
- Last Updated
- Jan 3, 2020
Practice Location
Authorized Official
- Name
- DR. MARK DAVYDOV, DPT
- Title
- PHYSICAL THERAPIST
- Phone
- (929) 340-1606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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