Organization
BACK TO HEALTH PHYSICAL THERAPY, PC
Active
Organization
BACK TO HEALTH PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VAYSMAN D.P.T. (PRESIDENT)
(347) 244-2530
Entity
Organization
Contact information
Practice address
1731 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-4513
(718) 868-8668
Mailing address
458 BEACH 142 STR., ROCKAWAY PARK, NY 11694
(347) 244-2530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023238
NY
225X00000X
Occupational Therapist
DDP3487
NY
Other
Enumeration date
03/08/2007
Last updated
06/06/2024
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