Organization
GROWING UP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ANNE DE LEON PT, DPT (PHYSICAL THERAPIST)
(917) 582-4396
Entity
Organization
Contact information
Practice address
38 CAPRICORN LN, MONSEY, NY 10952-5112
(917) 582-4396
(845) 694-8903
Mailing address
38 CAPRICORN LN, MONSEY, NY 10952-5112
(917) 582-4396
(845) 694-8903
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
023141
NY
261QP2000X
Physical Therapy Clinic/Center
023141
NY
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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