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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