Individual
AMY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 WATERS PL STE 710, BRONX, NY 10461-2733
(718) 794-0600
Mailing address
113 DREISER LOOP, BRONX, NY 10475-2701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113596099
PHYSICAL THERAPY
—
Enumeration date
01/30/2020
Last updated
01/30/2020
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