Organization
GAINS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB CHANG PT (PHYSICAL THERAPIST)
(917) 663-6336
Entity
Organization
Contact information
Practice address
9034 CORONA AVE, ELMHURST, NY 11373-4047
(917) 663-6336
Mailing address
8306 VIETOR AVE APT 4H, ELMHURST, NY 11373-3202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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