Organization
COMPLETE SPINAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT MINICK D.C. (OWNER)
(718) 892-2022
Entity
Organization
Contact information
Practice address
2510 WESTCHESTER AVE STE 104, BRONX, NY 10461-3585
(718) 892-2022
Mailing address
2510 WESTCHESTER AVE STE 104, BRONX, NY 10461-3585
(718) 892-2022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
37149
NY
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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