Organization
A&D PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUNGSOO OH P.T.,LAC (OWNER)
(718) 886-8461
Entity
Organization
Contact information
Practice address
3409 MURRAY ST FL 2, FLUSHING, NY 11354-3948
(718) 886-8461
Mailing address
3409 MURRAY ST FL 2, FLUSHING, NY 11354-3948
(718) 886-8461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16067
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02762316
—
NY
Enumeration date
12/10/2012
Last updated
12/10/2012
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