Organization
BODY REPAIR PHYSICAL THERAPY PC
Active
Other names
BODY REPAIR PHYSCIAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA ZAPATA P.T. (OWNER)
(718) 932-1818
Entity
Organization
Contact information
Practice address
82-11 37TH AVE, JACKSON HEIGHTS, NY 11372-7015
(718) 932-1818
(718) 932-3222
Mailing address
82-11 37TH AVE, SUITE 602, JACKSON HEIGHTS, NY 11372-7015
(718) 932-1818
(718) 932-3222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03836748
—
NY
Enumeration date
10/17/2007
Last updated
09/19/2014
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