Fresh Pond Physical Therapy, P.c
NPI #1962885491 in Ridgewood, New York
Provider Information
- NPI Number
- 1962885491
- Entity Type
- Organization
- Organization Name
- Fresh Pond Physical Therapy, P.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESH POND PHYSICAL THERAPY, P.C
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Jul 20, 2015
Practice Location
Authorized Official
- Name
- MR. DEXTER C BONGATO, PT
- Title
- STAFF PHYSICAL THERAPIST
- Phone
- (718) 456-2545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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