Organization
BIG LEAP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA RHEEDA DEL MUNDO AGUILAR PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(646) 500-0607
Entity
Organization
Contact information
Practice address
3211 55TH ST, APT. 1, WOODSIDE, NY 11377-1910
(646) 500-0607
Mailing address
3211 55TH ST, APT. 1, WOODSIDE, NY 11377-1910
(646) 500-0607
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
030854
NY
Other
Enumeration date
10/30/2014
Last updated
11/11/2014
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