Organization
AQUA WORLDWIDE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEITUNG SU (PHYSICAL THERAPIST ASSISTANT)
(646) 853-7792
Entity
Organization
Contact information
Practice address
13347 SANFORD AVE, FLUSHING, NY 11355-5800
(917) 683-5653
Mailing address
14210 ROOSEVELT AVE APT 604, FLUSHING, NY 11354-6031
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
039731
NY
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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