Organization
GRACE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINSUK KWAK KIM P.T. (PHYSICAL THERAPIST)
(718) 321-2511
Entity
Organization
Contact information
Practice address
14250 ROOSEVELT AVE STE 1B, FLUSHING, NY 11354-6042
(718) 321-2511
(888) 327-6892
Mailing address
14250 ROOSEVELT AVE STE 1B, FLUSHING, NY 11354-6042
(718) 321-2511
(888) 327-6892
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
015390
NY
Other
Enumeration date
01/12/2007
Last updated
09/17/2007
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