Provider Demographics
NPI:1124411194
Name:PERSONAL TOUCH PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:PERSONAL TOUCH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-666-7397
Mailing Address - Street 1:7507 172ND ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1422
Mailing Address - Country:US
Mailing Address - Phone:718-666-7397
Mailing Address - Fax:718-374-3115
Practice Address - Street 1:7401 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2555
Practice Address - Country:US
Practice Address - Phone:718-666-7397
Practice Address - Fax:718-374-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034870-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty