Organization
KINETIX PROFESSIONAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROX JOACUIN LUKAS DPT (PRESIDENT)
(646) 707-1957
Entity
Organization
Contact information
Practice address
8716 QUEENS BLVD, ELMHURST, NY 11373-4419
(646) 707-1957
Mailing address
13324 SANFORD AVE APT 9E, FLUSHING, NY 11355-3624
(646) 707-1957
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
31626
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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