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Organization
PINNACLE THERAPY SLP OT PT PLLC
Active
Organization
PINNACLE THERAPY SLP OT PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KHAVIS (DIRECTOR)
(917) 306-2509
Entity
Organization
Contact information
Practice address
3208 AVENUE K, BROOKLYN, NY 11210-4141
(917) 306-2509
Mailing address
3208 AVENUE K, BROOKLYN, NY 11210-4141
(917) 306-2509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032949-1
NY
225X00000X
Occupational Therapist
006595-1
NY
235Z00000X
Speech-Language Pathologist
018865
NY
Other
Enumeration date
10/29/2012
Last updated
02/23/2016
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