Organization
TOTAL MOBILITY PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA G. JOSE-DIZON DPT (PRESIDENT)
(805) 512-2359
Entity
Organization
Contact information
Practice address
4125 KISSENA BLVD, FLUSHING, NY 11355-3150
(805) 512-2359
(516) 802-0216
Mailing address
5 EDNA DR, SYOSSET, NY 11791-3717
(805) 512-2359
(516) 802-0216
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0287481
NY
261QP2000X
Physical Therapy Clinic/Center
37085
CA
261QP2000X
Physical Therapy Clinic/Center
40QA01330300
NJ
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/05/2013
Last updated
08/11/2022
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