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Organization
KINESIOLOGIC PHYSICAL THERAPY
Active
Organization
KINESIOLOGIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS GELLER (PRESIDENT)
(631) 678-6858
Entity
Organization
Contact information
Practice address
657 CENTRAL AVE, CEDARHURST, NY 11516-2320
(631) 678-6858
Mailing address
105 SACKVILLE RD, GARDEN CITY, NY 11530-2503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024745-1
NY
Other
Enumeration date
03/28/2012
Last updated
04/08/2012
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