Organization
THERA CONCEPT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUI CHUNG (CEO)
(718) 339-4460
Entity
Organization
Contact information
Practice address
1831 BURNETT ST, BROOKLYN, NY 11229-2625
(718) 339-4460
Mailing address
1831 BURNETT ST, BROOKLYN, NY 11229-2625
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24556
NY
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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