Organization
ORTHOPEDIC PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WONG MSPT OCS (DIRECTOR)
(718) 874-6779
Entity
Organization
Contact information
Practice address
4128 71ST ST, STE CA, WOODSIDE, NY 11377
(718) 874-6779
(718) 651-6373
Mailing address
4128 71ST ST, STE CA, WOODSIDE, NY 11377
(718) 874-6779
(718) 651-6373
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0192091
NY
Other
Enumeration date
04/28/2006
Last updated
03/05/2013
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