Big Strides Wide Reach Ot, Pt Pllc
NPI #1992102388 in Kew Gardens, New York
Provider Information
- NPI Number
- 1992102388
- Entity Type
- Organization
- Organization Name
- Big Strides Wide Reach Ot, Pt Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 1, 2014
- Last Updated
- Dec 1, 2014
Practice Location
- Address
- 11940 METROPOLITAN AVE
- Address 2
- SUITE 105
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-2600
- Phone
- (718) 880-1911
Authorized Official
- Name
- CHARMAINE MORCILLA, PT
- Title
- PT/MANAGING PARTNER
- Phone
- (718) 880-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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