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Contact Information

ACTIVE WELLNESS PHYSICAL THERAPY P.C.
100-05 ROOSEVELT AVE
2ND FLOOR
CORONA, NY11368
 Phone: 718-878-4103
 Fax: 718-803-6440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ACTIVE WELLNESS PHYSICAL THERAPY PC · (Female)

NPI # 1679826457
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2012
Last updated 10/18/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 0314231
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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