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Organization
REMOTE PHYSICAL THERAPY PC
Active
Organization
REMOTE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR SHEVARDNADZE (COO)
(201) 870-1194
Entity
Organization
Contact information
Practice address
1110 42ND ST, BROOKLYN, NY 11219-1213
(201) 870-1194
Mailing address
304 GARRETT RD, MOUNTAINSIDE, NJ 07092-1810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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