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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