Organization
CENTUM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYEONGJI BAN DPT (PRESIDENT)
(224) 423-8053
Entity
Organization
Contact information
Practice address
14021 32ND AVE APT 7EN, FLUSHING, NY 11354-2663
(224) 423-8053
Mailing address
14021 32ND AVE APT 7EN, FLUSHING, NY 11354-2663
(224) 423-8053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
05/25/2021
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