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Organization
ULTIMATE PHYSICAL THERAPY
Active
Organization
ULTIMATE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIQUE ANTHONY LOPEZ LMT (LICENSED MASSAGE THERAPIST)
(914) 328-3750
Entity
Organization
Contact information
Practice address
25 W RED OAK LN, WHITE PLAINS, NY 10604-3601
(914) 328-3750
(914) 328-6945
Mailing address
25 W RED OAK LN, WHITE PLAINS, NY 10604-3601
(914) 328-3750
(914) 328-6945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0188881
NY
Other
Enumeration date
12/19/2006
Last updated
11/05/2020
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