Organization
DYNAMIC PHYSICAL THERAPY OF QUEENS PLLC
Active
Other names
Dynamic PT of Queens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY BAUTISTA MBA (PRACTICE ADMNISTRATOR)
(914) 309-9564
Entity
Organization
Contact information
Practice address
5718 WOODSIDE AVE, 2FLR SUITE#103, WOODSIDE, NY 11377-3415
(718) 205-0030
(646) 304-8252
Mailing address
6248 80TH ST FL 2, MIDDLE VILLAGE, NY 11379-1323
(718) 429-2888
(646) 304-8252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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