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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