Organization
MANUAL AND MOVEMENT BASED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE MACK PT (PRESIDENT)
(914) 484-8246
Entity
Organization
Contact information
Practice address
1853 COMMERCE ST, YORKTOWN HEIGHTS, NY 10598-4432
(914) 484-8246
Mailing address
PO BOX 736, MOHEGAN LAKE, NY 10547-0736
(914) 484-8246
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
11/22/2010
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