# SMALL WONDERS PHYSICAL THERAPY, P.C.

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

## Provider details

- **NPI number:** 1568909174
- **Authorized official:** LISSA ADELINE SANTOS (PRESIDENT)
- **Authorized official phone:** (914) 772-6889

## Contact information

- **Practice address:** 45 PONDFIELD RD W, APT. 2K, BRONXVILLE, NY 10708-2955
- **Practice address phone:** (914) 772-6889
- **Mailing address:** 45 PONDFIELD RD W, APT. 2K, BRONXVILLE, NY 10708-2955
- **Mailing address phone:** (914) 772-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 013271-1 | NY | Yes |

## Other

- **Enumeration date:** 01/21/2017
- **Last updated:** 01/21/2017