Organization
ONE THERAPEUTIC PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HYUNWON KANG PT (PRESIDENT)
(718) 358-4080
Entity
Organization
Contact information
Practice address
16326 NORTHERN BLVD 1ST FL, FLUSHING, NY 11358
(718) 358-4080
Mailing address
16326 NORTHERN BLVD 1ST FL, FLUSHING, NY 11358
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
016019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427134154
NPI
NY
Enumeration date
09/10/2007
Last updated
03/05/2013
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