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Organization
MOMENTUM PHYSICAL & OCCUPATIONAL THERAPY, PLLC
Active
Organization
MOMENTUM PHYSICAL & OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE MATTHEW LABIAL OTR/L (OCCUPATIONAL THERAPIST)
(929) 412-9527
Entity
Organization
Contact information
Practice address
1870 GRAND CONCOURSE FL 2, BRONX, NY 10457-5476
(929) 412-9527
Mailing address
16414 GOETHALS AVE, JAMAICA, NY 11432-1224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
10/02/2024
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