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Organization
PHYSIATRY CONSULTANTS LLC
Active
Organization
PHYSIATRY CONSULTANTS LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEMMRY PANTIN (MANAGER)
(347) 647-0345
Entity
Organization
Contact information
Practice address
43 FLICKER CT, DOVER, DE 19904-5571
(917) 379-8964
Mailing address
43 FLICKER CT, DOVER, DE 19904-5571
(917) 379-8964
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
04/05/2021
Last updated
04/23/2021
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