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Organization
SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Active
Organization
SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RIVERA (CREDENTIALING SPECIALIST)
(212) 759-2282
Entity
Organization
Contact information
Practice address
30 BROAD ST, LEVEL A, NEW YORK, NY 10004-2304
(646) 790-7454
(212) 379-2076
Mailing address
307 5TH AVE FL 6, NEW YORK, NY 10016-6575
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028851-1
NY
2251H1200X
Hand Physical Therapist
035068-1
NY
Other
Enumeration date
07/13/2016
Last updated
09/20/2019
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