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Organization
INMOTION THERAPY PTA PLLC
Active
Organization
INMOTION THERAPY PTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN ST. LOUIS PTA (OWNER)
(631) 220-0655
Entity
Organization
Contact information
Practice address
1806 FLATBUSH AVE, BROOKLYN, NY 11210-4302
(718) 532-4030
Mailing address
1806 FLATBUSH AVE, BROOKLYN, NY 11210-4302
(718) 532-4030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006159
LICENSE
NY
Enumeration date
08/09/2019
Last updated
10/03/2019
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