Organization
BACK TO HEALTH PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE REISNER DPT (OWNER)
(516) 902-5262
Entity
Organization
Contact information
Practice address
103 S BEDFORD RD STE 109, MOUNT KISCO, NY 10549-3452
(914) 241-8000
Mailing address
9 OLD MILL RD, WEST HARRISON, NY 10604-1101
(516) 902-5262
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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