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Organization
HOMEWARD BOUND PHYSICAL THERAPY SERVICES
Active
Organization
HOMEWARD BOUND PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN BERNSLEY JAFFE PT (PRESIDENT)
(631) 673-6243
Entity
Organization
Contact information
Practice address
520 ADAMS STREET, CENTERPORT, NY 11721-1043
(631) 673-6243
(631) 673-6243
Mailing address
520 ADAMS STREET, CENTERPORT, NY 11721-1043
(631) 673-6243
(631) 673-6243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0084671
NY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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