Provider Demographics
NPI:1700502507
Name:PERSPECTIVES PHYSICAL THERAPY
Entity type:Organization
Organization Name:PERSPECTIVES PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-283-3242
Mailing Address - Street 1:91 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4535
Mailing Address - Country:US
Mailing Address - Phone:516-243-7041
Mailing Address - Fax:
Practice Address - Street 1:91 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-4535
Practice Address - Country:US
Practice Address - Phone:516-243-7041
Practice Address - Fax:516-386-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty