Organization
BACK TO SPORTS PHYSICAL THERAPY, P.C.
Active
Organization
BACK TO SPORTS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON HUPPERT PT (OWNER)
(646) 707-0400
Entity
Organization
Contact information
Practice address
1395 LEXINGTON AVE, MEZZANINE LEVEL, NEW YORK, NY 10128-1612
(646) 707-0400
(646) 707-0380
Mailing address
1395 LEXINGTON AVE, MEZZANINE LEVEL, NEW YORK, NY 10128-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020331-1
NY
Other
Enumeration date
08/16/2006
Last updated
01/25/2012
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