Organization
ADEL PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELAIDA MIJOS LAGA PT (PHYSICAL THERAPIST)
(718) 205-2992
Entity
Organization
Contact information
Practice address
13810 35TH AVE, #1A, FLUSHING, NY 11354-3402
(718) 205-2992
Mailing address
13810 35TH AVE, #1A, FLUSHING, NY 11354-3402
(718) 205-2992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031067-1
NY
Other
Enumeration date
05/23/2012
Last updated
06/15/2012
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