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Organization
HOME ADVANTAGE PHYSICAL THERAPY PC
Active
Organization
HOME ADVANTAGE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN T MANGAN PT (OWNER)
(516) 317-9593
Entity
Organization
Contact information
Practice address
3941 BEA CT, OCEANSIDE, NY 11572-5907
(516) 317-9593
(516) 764-5323
Mailing address
3941 BEA CT, OCEANSIDE, NY 11572-5907
(516) 317-9593
(516) 764-5323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014577-1
NY
Other
Enumeration date
10/09/2009
Last updated
10/31/2020
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