Provider Demographics
NPI:1457947632
Name:C - SQUARED PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:C - SQUARED PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:SHERR
Authorized Official - Last Name:CUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-450-4634
Mailing Address - Street 1:4502 VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2531
Mailing Address - Country:US
Mailing Address - Phone:914-450-4634
Mailing Address - Fax:
Practice Address - Street 1:4502 VICTORIA DR
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2531
Practice Address - Country:US
Practice Address - Phone:914-450-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy