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Organization
PRIME PHYSIQUE PHYSICAL THERAPY
Active
Organization
PRIME PHYSIQUE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN THERNELAN D.P.T (PRESIDENT; DOCTOR OF PT)
(917) 805-7031
Entity
Organization
Contact information
Practice address
229 JEFFERSON AVE, BROOKLYN, NY 11216-1708
(917) 805-7031
(718) 679-9214
Mailing address
229 JEFFERSON AVE, BROOKLYN, NY 11216-1708
(917) 805-7031
(718) 679-9214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030276
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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