Organization
ATHLETIC IQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA LOARCA PT, DPT (OWNER)
(516) 216-9305
Entity
Organization
Contact information
Practice address
61 MANORHAVEN BLVD, PORT WASHINGTON, NY 11050-1627
(516) 216-9305
Mailing address
61 MANORHAVEN BLVD, PORT WASHINGTON, NY 11050-1627
(516) 216-9305
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/19/2023
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