# PURPOSE DRIVEN PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1346585502
- **Authorized official:** NIA IRENE MENSAH (PRESIDENT)
- **Authorized official phone:** (678) 471-5607

## Contact information

- **Practice address:** 100 W 141ST ST APT 68, NEW YORK, NY 10030-1813
- **Practice address phone:** (678) 471-5607
- **Mailing address:** 100 W 141ST ST APT 68, NEW YORK, NY 10030-1813
- **Mailing address phone:** (678) 471-5607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 029911 | NY | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012