Organization
SMALL WONDERS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA ADELINE SANTOS (PRESIDENT)
(914) 772-6889
Entity
Organization
Contact information
Practice address
45 PONDFIELD RD W, APT. 2K, BRONXVILLE, NY 10708-2955
(914) 772-6889
Mailing address
45 PONDFIELD RD W, APT. 2K, BRONXVILLE, NY 10708-2955
(914) 772-6889
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
013271-1
NY
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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