Doctor Name: | KI TAE MAENG |
NPI Number: | 1104088798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 025817 |
Business Practice Address: | 14226 37th Ave #c Basement Flushing, NY - 113544103 |
Business Phone Number: | 7183537575 |
Business Fax Number: | 7183537576 |
Mailing Address: | 14226 37th Ave, #c Basement FLUSHING |
State: | NY |
Postal Code: | 113544103 |
Phone Number: | 7183537575 |
Fax Number: | 7183537576 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |