Organization
HABITAT PHYSICAL THERAPY PLLC
Active
Other names
Habitat Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN CANITA (OWNER/PHYSICAL THERAPIST)
(646) 450-6768
Entity
Organization
Contact information
Practice address
6613 BURNS ST APT 2F, REGO PARK, NY 11374-3950
(646) 752-3960
Mailing address
6613 BURNS ST APT 2F, REGO PARK, NY 11374-3950
(646) 752-3960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/29/2021
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