Organization
LEAPS BOUNDS PEDIATRIC PHYSICAL THERAPY OF NORTH SHORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL KISSEL PT DPT PCS (OWNER)
(917) 647-5275
Entity
Organization
Contact information
Practice address
1550 RICHMOND AVE STE 206, STATEN ISLAND, NY 10314-1578
(718) 477-1911
(718) 477-1971
Mailing address
1550 RICHMOND AVE STE 206, STATEN ISLAND, NY 10314-1578
(718) 477-1911
(718) 477-1971
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/27/2024
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