Organization
BLUEPRINT PERFORMANCE PHYSICAL THERAPY
Active
Organization
BLUEPRINT PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN KANG PT, DPT, MS (PHYSICAL THERAPIST)
(917) 685-3336
Entity
Organization
Contact information
Practice address
25316 61ST AVE UNIT 1183, LITTLE NECK, NY 11362-2431
(917) 685-3336
Mailing address
25316 61ST AVE UNIT 1183, LITTLE NECK, NY 11362-2431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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