Organization
FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES
Active
Other names
IPA SOHO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD GILDEN DPT (PRESIDENT)
(212) 226-4816
Entity
Organization
Contact information
Practice address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 226-4816
(212) 226-4814
Mailing address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 226-4816
(212) 226-4814
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
021468
NY
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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