Organization
MY PHYSICALTHERAPY
Active
Other names
My Physical therpay LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDRI PATEL (PT DPT)
(914) 316-5318
Entity
Organization
Contact information
Practice address
2 QUAIL RUN, RANDOLPH, NJ 07869-2827
(914) 316-5318
Mailing address
2 QUAIL RUN, RANDOLPH, NJ 07869-2827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477829794
NPPE
NM
Enumeration date
07/07/2019
Last updated
07/07/2019
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