Organization
CORONA PHYSICAL THERAPY PC
Active
Organization
CORONA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY BAUTISTA MBA (PRACTICE ADMINISTRATOR)
(914) 309-9564
Entity
Organization
Contact information
Practice address
10318 39TH AVE, SUITE 1, CORONA, NY 11368-2302
(718) 205-1513
(646) 304-8252
Mailing address
10318 39TH AVE, SUITE 1, CORONA, NY 11368-2302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24014
NY
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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