Organization
KELLEN RYAN SCANTLEBURY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEN SCANTLEBURY DPT (OWNER)
(646) 875-8348
Entity
Organization
Contact information
Practice address
2103 31ST AVE, ASTORIA, NY 11106-4521
(646) 875-8348
Mailing address
2103 31ST AVE, ASTORIA, NY 11106-4521
(646) 875-8348
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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