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Organization
THERADYNAMICS PHYSICAL REHAB
Active
Organization
THERADYNAMICS PHYSICAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE PARTIGUL PT (PT)
(631) 220-4234
Entity
Organization
Contact information
Practice address
1952 UNION BLVD, BAY SHORE, NY 11706-7920
(631) 968-0600
Mailing address
1952 UNION BLVD, BAY SHORE, NY 11706-7920
(631) 968-0600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
09/02/2008
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