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Organization
RESIDENTIAL REHAB
Active
Organization
RESIDENTIAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLAN BUBB PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(315) 717-5546
Entity
Organization
Contact information
Practice address
104 28TH AVE, SYLVAN BEACH, NY 13157-0255
(315) 717-5546
Mailing address
PO BOX 255, SYLVAN BEACH, NY 13157-0255
(315) 717-5546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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