Organization Name: | QUEENS COUNTY PHYSICAL THERAPY AND WELLNESS,PC |
NPI Number: | 1194998633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLEEN BAUTISTA ANCIRO (PHYSICAL THERAPIST / OWNER) |
Mailing Address: | 20014 44th Ave Bayside |
State: | NY US |
Postal Code: | 113612510 |
Phone Number: | 7182792900 |
Fax Number: | 7182797958 |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 11/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 023716 |
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 |