Organization
BACK TO MOVE PT. PC
Active
Other names
Bac to Move PT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOAMEN HASSANEN (OWNER)
(646) 300-5184
Entity
Organization
Contact information
Practice address
20412 HILLSIDE AVE, JAMAICA, NY 11423
(929) 200-1073
(929) 955-9714
Mailing address
2775 E12TH STREET APT 228, BROOKLYN, NY 11235
(646) 300-5184
(929) 955-9714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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