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Organization
DYNAMIC REHAB P T PC
Active
Organization
DYNAMIC REHAB P T PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANATOLI YOSHOVAYEV DPT (PRESIDENT)
(973) 910-0307
Entity
Organization
Contact information
Practice address
14905 79TH AVE, # 219, KEW GARDENS HILLS, NY 11367-3855
(973) 910-0307
Mailing address
14905 79TH AVE, # 219, KEW GARDENS HILLS, NY 11367-3855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
09/14/2011
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