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Organization
ST MAURICE PHYSICAL THERAPY PC
Active
Organization
ST MAURICE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL BAKHOM DPT (AGENT)
(347) 656-6998
Entity
Organization
Contact information
Practice address
899 BOWLING GREEN DR, WESTBURY, NY 11590-6103
(347) 656-6998
Mailing address
899 BOWLING GREEN DR, WESTBURY, NY 11590-6103
(347) 656-6998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033723
NY
Other
Enumeration date
07/13/2016
Last updated
07/18/2016
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