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Organization
GROWING UP PHYSICAL THERAPY PC
Active
Organization
GROWING UP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ANNE DE LEON PT, DPT (PHYSICAL THERAPIST)
(917) 582-4396
Entity
Organization
Contact information
Practice address
38 CAPRICORN LN, MONSEY, NY 10952-5112
(917) 582-4396
(845) 694-8903
Mailing address
38 CAPRICORN LN, MONSEY, NY 10952-5112
(917) 582-4396
(845) 694-8903
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
023141
NY
261QP2000X
Physical Therapy Clinic/Center
023141
NY
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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