Provider Demographics
NPI:1548010614
Name:BODY LANGUAGE PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:BODY LANGUAGE PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YI-HSIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, D-EDX
Authorized Official - Phone:909-331-9171
Mailing Address - Street 1:2 FAIRHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-1109
Mailing Address - Country:US
Mailing Address - Phone:909-331-9171
Mailing Address - Fax:
Practice Address - Street 1:2 FAIRHAVEN DR
Practice Address - Street 2:
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-1109
Practice Address - Country:US
Practice Address - Phone:909-331-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy