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Organization
FUN FITNESS PHYSICAL THERAPY PC
Active
Organization
FUN FITNESS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GOETZ (PRESIDENT)
(212) 674-4616
Entity
Organization
Contact information
Practice address
8014 170TH ST, JAMAICA, NY 11432-1331
(212) 674-4616
Mailing address
8014 170TH ST, JAMAICA, NY 11432-1331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017273
NY
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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