Organization
G1L PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIWON LEE (PROVIDER)
(503) 901-9772
Entity
Organization
Contact information
Practice address
7 WALNUT RD, GLEN COVE, NY 11542-2267
(516) 609-9400
(516) 609-9402
Mailing address
4630 206TH ST FL 1, BAYSIDE, NY 11361-3163
(503) 901-9772
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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