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Organization
INSPIRE PHYSICAL THERAPY WELLNESS PLLC
Active
Organization
INSPIRE PHYSICAL THERAPY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESSLEY CHACKO (OWNER)
(347) 251-0690
Entity
Organization
Contact information
Practice address
9112 175TH ST APT 2B, JAMAICA, NY 11432-5571
(347) 251-0690
Mailing address
1397 E SALLY CT, EAST MEADOW, NY 11554-4520
(347) 251-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
11/04/2021
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