NPI 1013378686

Jerry Tom

Practitioner Physical Therapist Flushing, NY

Practice location

Address: 11919 Graham CT, Flushing, NY 11354-1047
Phone: (718) 888-0700
Mailing address: 3520 97th St APT 9, Corona, NY 11368-1758

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 039314 (NY)

Other Physical Therapist providers in New York →

Registry record

NPI: 1013378686
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2016
Record last updated: 10 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.