# GROWING UP PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023546207
- **Authorized official:** MELINDA ANNE DE LEON PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (917) 582-4396

## Contact information

- **Practice address:** 38 CAPRICORN LN, MONSEY, NY 10952-5112
- **Practice address phone:** (917) 582-4396
- **Practice address fax:** (845) 694-8903
- **Mailing address:** 38 CAPRICORN LN, MONSEY, NY 10952-5112
- **Mailing address phone:** (917) 582-4396
- **Mailing address fax:** (845) 694-8903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 023141 | NY | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 023141 | NY | — |

## Other

- **Enumeration date:** 05/31/2017
- **Last updated:** 07/21/2022