Organization
ACTIVE PHYSICAL THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNE KAMINSKI PT (OWNER)
(862) 202-1895
Entity
Organization
Contact information
Practice address
31 W 34TH ST STE 7129, NEW YORK, NY 10001-3009
(862) 202-1895
(914) 412-9929
Mailing address
31 W 34TH ST STE 7129, NEW YORK, NY 10001-3009
(862) 202-1895
(914) 412-9929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120636
NEY YORK REGISTRATION
NY
Enumeration date
08/01/2019
Last updated
08/23/2019
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