Organization
FUNCTIONAL LIFESTYLES PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Active
Organization
FUNCTIONAL LIFESTYLES PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS TURCIOS OTR/L (OPERATING MANAGER)
(917) 412-7506
Entity
Organization
Contact information
Practice address
19911 33RD AVE, FLUSHING, NY 11358-1905
(917) 412-7506
Mailing address
19911 33RD AVE, FLUSHING, NY 11358-1905
(917) 412-7506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
019237
NY
225X00000X
Occupational Therapist
Primary
009103
NY
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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