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Organization
REHOBOTH PHYSICAL THERAPY PC
Active
Organization
REHOBOTH PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEDOLAPO ADESHOLA OLURINDE DPT (OWNER/CEO)
(347) 351-4970
Entity
Organization
Contact information
Practice address
598 NEW YORK AVE, BROOKLYN, NY 11203-1507
(347) 221-1646
(718) 481-7929
Mailing address
24104 148TH RD, ROSEDALE, NY 11422-3249
(347) 221-1646
(718) 481-7929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508092446
—
NY
Enumeration date
07/31/2012
Last updated
01/09/2013
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