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Organization
FRESH POND PHYSICAL THERAPY JACKSON HEIGHTS, PC.
Active
Organization
FRESH POND PHYSICAL THERAPY JACKSON HEIGHTS, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA TAN (PRESIDENT)
(718) 456-2545
Entity
Organization
Contact information
Practice address
9216 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7942
(718) 456-2545
(718) 559-6784
Mailing address
6805 FRESH POND RD, RIDGEWOOD, NY 11385-5200
(718) 456-2543
(718) 559-6784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
11/19/2014
Last updated
05/20/2016
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