Fresh Pond Physical Therapy, P.c

NPI #1508844036 in Ridgewood, New York

Provider Information

NPI Number: 1508844036
Entity Type: Organization
Organization Name: Fresh Pond Physical Therapy, P.c
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jan 4, 2006
Last Updated: May 20, 2016

Practice Location

Address: 6805 FRESH POND RD
City: Ridgewood
State: New York
ZIP Code: 11385-5200
Phone: (718) 456-2545

Authorized Official

Name: JENNY TAN
Title: BILLING & COLLECTION DEPT. HEAD
Phone: (718) 456-2543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physical Therapist - Cardiopulmonary — Cardiopulmonary	2251C2600X
Physical Therapist - Electrophysiology, Clinical — Electrophysiology, Clinical	2251E1300X
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Hand — Hand	2251H1200X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist - Human Factors — Human Factors	2251H1300X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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