Organization
SOMA DYNAMICS PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S PANAGOS PTA (OFFICER)
(718) 598-0548
Entity
Organization
Contact information
Practice address
5026 OCEANIA ST, BAYSIDE, NY 11364-1123
(718) 598-0548
Mailing address
5026 OCEANIA ST, BAYSIDE, NY 11364-1123
(718) 598-0548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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