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Organization
PLEASANT VALLEY PHYSICAL THERAPY LLC
Active
Organization
PLEASANT VALLEY PHYSICAL THERAPY LLC
Active
Other names
LaGrange Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK JOHN DIBERNARDO PT (CO-OWNER)
(845) 471-2423
Entity
Organization
Contact information
Practice address
1100 ROUTE 55, SUITE 101, LA GRANGEVILLE, NY 12540
(845) 471-2423
(845) 471-2776
Mailing address
1100 ROUTE 55, SUITE 101, LA GRANGEVILLE, NY 12540
(845) 471-2423
(845) 471-2776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016283-1
NY
225100000X
Physical Therapist
Primary
018803-1
NY
Other
Enumeration date
07/14/2006
Last updated
03/13/2009
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