Organization
PHYSIO WORLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANOOP CHACKO PT (PHYSICAL THERAPIST)
(929) 422-3880
Entity
Organization
Contact information
Practice address
7324 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4137
(929) 422-3880
Mailing address
7324 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4137
(929) 422-3880
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
042614-1
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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