MEDICARE: BODY LANGUAGE PHYSICAL THERAPY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1548010614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY LANGUAGE PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	2 FAIRHAVEN DR
Second Line	:
City	:	WHEATLEY HEIGHTS
State	:	NY
Zip	:	11798-1109
Country	:	US
Telephone Number	:	909-331-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 FAIRHAVEN DR
Second Line	:
City	:	WHEATLEY HEIGHTS
State	:	NY
Zip	:	11798-1109
Country	:	US
Telephone Number	:	909-331-9171
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	YI-HSIANG WANG
Credential	:	DPT, D-EDX
Telephone Number	:	909-331-9171

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

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Directions to “BODY LANGUAGE PHYSICAL THERAPY P.C. ” Practice Location

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