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Organization
SOMA PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Active
Organization
SOMA PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE STAMBOULIS PT, DPT (CO-FOUNDER)
(718) 734-2373
Entity
Organization
Contact information
Practice address
2408 32ND ST STE 1002D, ASTORIA, NY 11102-1139
(718) 734-2373
(718) 734-2372
Mailing address
2408 32ND ST STE 1002D, ASTORIA, NY 11102-1139
(718) 734-2373
(718) 734-2372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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