| Form And Function Physical Therapy Pc. | |
|
55 Jericho Tpke, Suite 202, Jericho, NY 11753-1013 | |
| (516) 532-0734 | |
| (516) 465-9656 |
| Full Name | Form And Function Physical Therapy Pc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 55 Jericho Tpke, Jericho, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316332505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0179761 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Form And Function Physical Therapy Pc. 55 Jericho Tpke, Suite 202, Jericho, NY 11753-1013 Ph: (516) 532-0734 | Form And Function Physical Therapy Pc. 55 Jericho Tpke, Suite 202, Jericho, NY 11753-1013 Ph: (516) 532-0734 |
Jaime Philip, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Broadway, Suite D, Jericho, NY 11753 Phone: 516-827-9446 Fax: 516-827-0042 | |
Wilda Lacdao Peralta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 S Service Rd Rm 109, Jericho, NY 11753 Phone: 516-750-9760 Fax: 516-495-7242 | |
Pooja Pratik Mehta, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 South Service Road, Room 109, Jericho, NY 11753 Phone: 516-750-9760 | |
Jericho Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 55 Jericho Tpke Ste 102, Jericho, NY 11753 Phone: 516-506-7888 Fax: 516-833-6044 | |
Dr. Paul Fakih, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 North Broadway, Jericho, NY 11753 Phone: 516-738-5548 | |
Kidsperfect Pt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Forsythia Ln, Jericho, NY 11753 Phone: 917-415-0746 |