Organization
MATTER REHABILITATION PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY TA PT, DPT (OWNER)
(347) 241-7338
Entity
Organization
Contact information
Practice address
8435 PENELOPE AVE, MIDDLE VILLAGE, NY 11379-2443
(347) 241-7338
Mailing address
8435 PENELOPE AVE, MIDDLE VILLAGE, NY 11379-2443
(347) 241-7338
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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