Organization
KAIZEN PHYSICAL THERAPY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONIFACIO WENCESLAO JR. PT (OWNER)
(845) 541-2230
Entity
Organization
Contact information
Practice address
26 COOPER RD APT 715, POUGHKEEPSIE, NY 12603
(845) 541-2230
Mailing address
26 COOPER RD APT 715, POUGHKEEPSIE, NY 12603-1670
(845) 541-2230
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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