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Organization
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Active
Organization
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Active
Other names
Sports Therapy and Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VAKNIN PT, VP (VICE PRESIDENT)
(516) 321-7801
Entity
Organization
Contact information
Practice address
95-25 QUEENS BLVD, SUITE D, REGO PARK, NY 11374
(718) 925-6212
(718) 925-6271
Mailing address
3 HUNTINGTON QUADRANGLE STE 103N, MELVILLE, NY 11747-4601
(516) 474-2816
(516) 321-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2022
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