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Organization

HOME-BASED PHYSICAL THERAPY PLLC

Active
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Organization

HOME-BASED PHYSICAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE FRIED DPT (PRESIDENT)
(718) 962-5852
Entity
Organization

Contact information

Practice address
104 COMBS AVE, WOODMERE, NY 11598-1431
(718) 962-5852
Mailing address
104 COMBS AVE, WOODMERE, NY 11598-1431
(718) 962-5852

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Enumeration date
06/07/2019
Last updated
09/29/2023
About Stedi
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