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Organization
PHYSIO VISTA PHYSICAL THERAPY PLLC
Active
Organization
PHYSIO VISTA PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KEITH TAGO GUIVENCAN PT, DPT (OWNER/PT)
(929) 235-4336
Entity
Organization
Contact information
Practice address
909 MIDLAND AVE, YONKERS, NY 10704-1092
(929) 235-4336
Mailing address
6121 SAUNDERS ST, REGO PARK, NY 11374-1026
(929) 235-4336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
07/17/2025
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