Organization
CENTENO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E SOTO PT (OWNER/DIRECTOR)
(347) 764-3977
Entity
Organization
Contact information
Practice address
106 LOCKMAN AVE, STATEN ISLAND, NY 10303-2052
(347) 764-3977
Mailing address
2079 FOREST AVE UNIT 30367, STATEN ISLAND, NY 10303-1799
(347) 764-3977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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