Organization
BACK TO FORM PHYSICAL THERAPY, PC
Active
Organization
BACK TO FORM PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WARNER (OWNER)
(917) 291-8656
Entity
Organization
Contact information
Practice address
18 E 41ST ST, SUITE 406, NEW YORK, NY 10017-6222
(212) 725-6600
Mailing address
485 CENTRAL PARK W APT 3F, NEW YORK, NY 10025-3360
(212) 227-7310
(917) 591-4477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025701
NY
Other
Enumeration date
12/23/2015
Last updated
01/15/2021
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