Organization
MANOR ROAD PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK MARTINEZ PT, DPT (PRESIDENT)
(630) 337-1475
Entity
Organization
Contact information
Practice address
800 MANOR RD, SUITE 2, STATEN ISLAND, NY 10314-7034
(630) 337-1475
Mailing address
800 MANOR RD, SUITE 2, STATEN ISLAND, NY 10314-7034
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
027751
NY
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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