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JAY T MIZUTA D.P.T.

Individual Provider (NPI-1) Active

Physical Medicine & Rehabilitation

Provider Information

NPI Number
1992126106
Provider Type
Individual Provider (NPI-1)
Credentials
D.P.T.
Status
Active

Contact & Location

Address
535 E 70TH ST, NEW YORK, NY, 100214823
Phone
(212) 606-1005

Specialties & Taxonomies

Physical Therapist License: OR #60309
Physical Medicine & Rehabilitation Primary License: NY #040302

All Addresses

LOCATION

535 E 70TH ST

NEW YORK, NY, 100214823

(212) 606-1005

MAILING

16083 SW UPPER BOONES FERRY RD SUITE 300

TIGARD, OR, 972247736

(800) 219-8835