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Organization
FITNESS AND FUNCTION PHYSICAL THERAPY
Active
Organization
FITNESS AND FUNCTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY R LEEDS P.T. (OWNER)
(516) 413-4144
Entity
Organization
Contact information
Practice address
157 GROTON PL, WEST HEMPSTEAD, NY 11552-1607
(516) 413-4144
Mailing address
157 GROTON PL, WEST HEMPSTEAD, NY 11552-1607
(516) 413-4144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018773
NY
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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