Organization
WONDERFUL MOTION PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO SHANE DECASTRO BADIOLA III PT (PHYSICAL THERAPIST)
(347) 465-0763
Entity
Organization
Contact information
Practice address
347 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
(347) 465-0763
Mailing address
347 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
(347) 465-0763
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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