Provider First Line Business Practice Location Address:
1560 BROADWAY
Provider Second Line Business Practice Location Address:
BEYOND BASICS PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-354-2622
Provider Business Practice Location Address Fax Number:
212-354-2752
Provider Enumeration Date:
10/21/2006