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Organization
PHYSICAL THERAPY LANE, PC
Active
Organization
PHYSICAL THERAPY LANE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN SANTOS (PHYSICAL THERAPIST/OWNER)
(347) 421-1752
Entity
Organization
Contact information
Practice address
280 GRAND AVE, SUITE 2, ENGLEWOOD, NJ 07631-4352
(347) 421-1752
Mailing address
3222 92ND ST, 401, EAST ELMHURST, NY 11369-2460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01396900
NJ
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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