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Organization
GA PHYSICAL THERAPY FOR ALL PC
Active
Organization
GA PHYSICAL THERAPY FOR ALL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYULNARA AVSHALUMOVA DPT (PT)
(917) 697-2617
Entity
Organization
Contact information
Practice address
38 CORAL CT, STATEN ISLAND, NY 10308-3534
(917) 697-2617
Mailing address
38 CORAL CT, STATEN ISLAND, NY 10308-3534
(917) 697-2617
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
02/29/2024
Last updated
03/15/2024
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