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Organization
TO THE MAX PHYSICAL THERAPY, PC
Active
Organization
TO THE MAX PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY M JERKENS MSPT (OWNER)
(502) 314-6584
Entity
Organization
Contact information
Practice address
15 JERICHO TPKE, NEW HYDE PARK, NY 11040-4515
(502) 314-6584
(516) 216-1905
Mailing address
1200 ENVOY CIR, SUITE 1204, LOUISVILLE, KY 40299-1963
(502) 314-6584
(516) 216-1905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031287
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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