Individual provider · Type 1 NPI

Vida Jong, MSPT

Pediatric Physical Therapist · New York, NY

NPI number 1295979151 Active

Practice location

292 Madison Ave, 2nd Floor
New York, NY 10017-6307

Mailing address

327 E 34th St, Apt. 2D
New York, NY 10016-4943

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X019406-1 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1295979151

Vida Jong, MSPT's National Provider Identifier is 1295979151, issued on Apr 22, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in New York, NY. The record was last updated on Aug 30, 2011.