Organization · Type 2 NPI

Pro Form Physical Therapy PC

Specialist · Bronx, NY

NPI number 1740621697 Active

Practice location

1973 University Ave
Bronx, NY 10453-4404

Call (718) 618-0052 Map

Fax (718) 534-4135

Mailing address

95-22 63rd Road, Suite 412
Rego Park, NY 11374-1142

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X025663 (NY)
Specialist 174400000X021421 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1740621697

Pro Form Physical Therapy PC's National Provider Identifier is 1740621697, issued on Jul 8, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Mar 1, 2016.