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Organization
PREMIER PHYSICAL THERAPY AND WELLNESS, PC
Active
Organization
PREMIER PHYSICAL THERAPY AND WELLNESS, PC
Active
Other names
Premier Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TATTA (DIRECTOR)
(212) 861-2630
Entity
Organization
Contact information
Practice address
461 PARK AVE S, STE 802, NEW YORK, NY 10016-6822
(212) 696-2727
Mailing address
1536 3RD AVE, 5TH FL., NEW YORK, NY 10028-2167
(212) 861-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
10/02/2013
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