Organization
THERA-MAX PHYSICAL THERAPY SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEL MENDOZA PT (PRESIDENT)
(516) 579-0923
Entity
Organization
Contact information
Practice address
91 AVIS DR, EAST MEADOW, NY 11554-1401
(516) 579-0923
Mailing address
91 AVIS DR, EAST MEADOW, NY 11554-1401
(516) 579-0923
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
010524
NY
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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