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Organization
WONDERFUL MOTION LLC
Active
Organization
WONDERFUL MOTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO SHANE DE CASTRO BADIOLA III PHYSICAL THERAPIST (PT)
(347) 465-0763
Entity
Organization
Contact information
Practice address
347 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
(347) 465-0763
Mailing address
347 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
(347) 465-0763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016105
NY
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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