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Organization
EXTEND REHAB LLC
Active
Organization
EXTEND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEARNS JULIEN PT, DPT, OCS (PHYSICAL THERAPIST)
(347) 267-8156
Entity
Organization
Contact information
Practice address
520 W 218TH ST APT 3B, NEW YORK, NY 10034-1025
(347) 267-8156
Mailing address
520 W 218TH ST APT 3B, NEW YORK, NY 10034-1025
(347) 267-8156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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