Organization
GAINS PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB CHANG DPT (OWNER)
(917) 663-6336
Entity
Organization
Contact information
Practice address
9034 CORONA AVE, ELMHURST, NY 11373-4047
(917) 663-6336
Mailing address
9034 CORONA AVE, ELMHURST, NY 11373-4047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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