Organization
ATV REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN TORRES VILLAMOR PT (PRESIDENT)
(929) 342-9846
Entity
Organization
Contact information
Practice address
8540 54TH AVE, ELMHURST, NY 11373-4333
(929) 342-9846
Mailing address
8540 54TH AVE, ELMHURST, NY 11373-4333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038749
NY
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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