Organization
ACTIVE MOVEMENT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOUNGTAE LEE DR. (PHYSICAL THERAPIST)
(929) 333-4564
Entity
Organization
Contact information
Practice address
370 LEXINGTON AVE RM 312, NEW YORK, NY 10017-6564
(212) 286-9800
(212) 286-9801
Mailing address
370 LEXINGTON AVE RM 312, NEW YORK, NY 10017-6564
(212) 286-9800
(212) 286-9801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
11/08/2022
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