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Individual
JUSTINA STREET
Active
Individual
JUSTINA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT,OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
041441
NY
225100000X
Physical Therapist
Primary
041441-1
—
Other
Enumeration date
09/25/2017
Last updated
03/22/2021
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