Organization
BACK 2 SHAPE P.T. & O.T., PLLC
Active
Organization
BACK 2 SHAPE P.T. & O.T., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACHIAL KREYNER DPT (PRESIDENT)
(718) 909-5929
Entity
Organization
Contact information
Practice address
2411 E 2ND ST, BROOKLYN, NY 11223-6041
(718) 909-5929
(718) 942-5753
Mailing address
2411 E 2ND ST, BROOKLYN, NY 11223-6041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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