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Organization

AXIOM PT& OT PLUS,PLLC

Active
Parent organization
AXIOM PT AND OT PLUS
Other names
Axiom PT & OT Plus,PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AXIOM PT AND OT PLUS
Authorized official
MS. CHRISTINE A ELLIS MSPT (MANAGING PARTNER)
(914) 961-1010
Entity
Organization

Contact information

Practice address
625 MCLEAN AVE, YONKERS, NY 10705-4735
(914) 961-1010
(914) 961-1011
Mailing address
115 MAIN ST, SUITE 202 2ND FLOOR, TUCKAHOE, NY 10707-2948
(914) 961-1010
(914) 961-1011

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03282455
NY
Enumeration date
01/15/2014
Last updated
03/06/2014
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