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Organization
JEDIDIAH PHYSICAL THERAPY PC
Active
Organization
JEDIDIAH PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREMARE LADJAHASAN PT (OWNER)
(646) 309-8858
Entity
Organization
Contact information
Practice address
3041 BRIGHTON 2ND ST, BROOKLYN, NY 11235-7453
(718) 484-3131
(347) 702-9107
Mailing address
3041 BRIGHTON 2ND ST, BROOKLYN, NY 11235-7453
(718) 484-3131
(347) 702-9107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026709
NY
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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