Fresh Pond Physical Therapy Astoria, P.c.

NPI #1477819084 in Astoria, New York

Provider Information

NPI Number: 1477819084
Entity Type: Organization
Organization Name: Fresh Pond Physical Therapy Astoria, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 9, 2012
Last Updated: May 20, 2016

Practice Location

Address: 4618 BROADWAY
City: Astoria
State: New York
ZIP Code: 11103-1628
Phone: (718) 274-4200

Authorized Official

Name: LIZA TAN, DPT, PT
Title: CEO
Phone: (718) 456-2543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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