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Organization
PELVIC MUSCLE PHYSICAL THERAPY, PC
Active
Organization
PELVIC MUSCLE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA GUTTA SONDHEIMER KLEIN PT (PRESIDENT)
(516) 367-6069
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY ROAD, SUITE 201, MINEOLA, NY 11501-4198
(516) 367-6069
(516) 876-9607
Mailing address
34 BACON RD, OLD WESTBURY, NY 11568-1503
(516) 367-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002673-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811010
ACN, UNITED HEALTH CARE
NY
01
—
A523322
OSFORD HEALTH PLANS
NY
Enumeration date
09/16/2006
Last updated
04/27/2010
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