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Organization
PHYSIO CARE PHYSICAL THERAPY PC
Active
Organization
PHYSIO CARE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENNATALLAH MOHAMED IBRAHIM (PT)
(646) 384-3095
Entity
Organization
Contact information
Practice address
4014 BOSTON RD # A, BRONX, NY 10475-1120
(646) 384-3095
Mailing address
220 PELHAM RD APT 6C, NEW ROCHELLE, NY 10805-2543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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