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Organization
KIDS IN SHAPE PHYSICAL THERAPY LLC
Active
Organization
KIDS IN SHAPE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREAS KALLENOS MS, PT (PHYSICAL THERAPIST/ MANAGER)
(718) 435-6906
Entity
Organization
Contact information
Practice address
1336 50TH ST, BROOKLYN, NY 11219-3501
(718) 435-6906
(718) 435-6908
Mailing address
1336 50TH ST, BROOKLYN, NY 11219-3501
(718) 435-6906
(718) 435-6908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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