Organization
ACTIVE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK M MAY PT, MS (PRESIDENT)
(914) 630-7724
Entity
Organization
Contact information
Practice address
2127 PALMER AVENUE, LARCHMONT, NY 10538
(914) 630-7724
(914) 630-7725
Mailing address
2127 PALMER AVENUE, LARCHMONT, NY 10538
(914) 630-7724
(914) 630-7725
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
025433-1
NY
Other
Enumeration date
10/20/2011
Last updated
08/01/2014
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