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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) 249-5332
Entity
Organization
Contact information
Practice address
170 E 77TH ST, PROF. UNIT 2, NEW YORK, NY 10075-1912
(212) 249-5332
(212) 249-9539
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
10/20/2005
Last updated
08/09/2012
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