Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

NPI #1952907412 in Astoria, New York

Provider Information

NPI Number: 1952907412
Entity Type: Organization
Organization Name: Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
Primary Specialty: Physical Therapist
Enumeration Date: Dec 9, 2020
Last Updated: Dec 8, 2022

Practice Location

Address: 3157 31ST ST STE 5
City: Astoria
State: New York
ZIP Code: 11106-2593
Phone: (516) 321-7526

Authorized Official

Name: DANIEL VAKNIN, PT
Title: VICE PRESIDENT
Phone: (516) 321-7801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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