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Organization
SPORTSMEDICINE REHABILITATION
Active
Organization
SPORTSMEDICINE REHABILITATION
Active
Other names
Sports Med Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENA GONZALEZ (OFFICE MANAGER)
(914) 946-5685
Entity
Organization
Contact information
Practice address
313 CENTRAL PARK AVE, SCARSDALE, NY 10583-1349
(914) 946-5685
(914) 946-0304
Mailing address
141 S CENTRAL AVE, SUITE 308, HARTSDALE, NY 10530-2319
(914) 946-5685
(914) 946-0304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/25/2006
Last updated
07/11/2008
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