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Organization
KINESIOWORKS PHYSICAL THERAPY, P.C.
Active
Organization
KINESIOWORKS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAZEL MARUCUT STO TOMAS PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(718) 839-3046
Entity
Organization
Contact information
Practice address
1980 AMSTERDAM AVE # 1B, NEW YORK, NY 10032-5058
(212) 740-2049
(917) 388-3417
Mailing address
38 DEERFIELD ST, BERGENFIELD, NJ 07621-1805
(201) 968-6112
(201) 561-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05357539
—
NY
Enumeration date
02/11/2019
Last updated
02/18/2021
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