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NPI Code Detail

MEDICARE: KELSEY CONTRERAS PT, DPT

MEDICARE: KELSEY CONTRERAS PT, DPT
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
1225100000XPhysical Therapist1277758TX
2225100000XPhysical Therapist047206NY

General Provider Information

NPI Number : 1962955427
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY CONTRERAS PT, DPT
Provider Business Mailing Address
First Line : 31 E 32ND ST FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5595
Country : US
Telephone Number : 212-759-2282
Fax Number :
Provider Business Practice Location Address
First Line : 120 E 56TH ST RM 1010
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3652
Country : US
Telephone Number : 212-759-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 09/03/2024

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Directions to “ KELSEY CONTRERAS PT, DPT” Practice Location

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