Organization
LEAPS AND BOUNDS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL KISSEL BS, MPT, DPT (OWNER/PHYSICAL THERAPIST)
(718) 477-1911
Entity
Organization
Contact information
Practice address
2460 VICTORY BLVD, STATEN ISLAND, NY 10314-6612
(718) 477-1911
(718) 477-1971
Mailing address
2460 VICTORY BLVD, STATEN ISLAND, NY 10314-6612
(718) 477-1911
(718) 477-1971
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
024532-1
NY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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