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Organization
THE PHYSICAL THERAPY PRACTICE
Active
Organization
THE PHYSICAL THERAPY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JAMES LAVENDER PT (OWNER)
(646) 761-8123
Entity
Organization
Contact information
Practice address
361 W 30TH ST APT 1B, NEW YORK, NY 10001-2749
(646) 761-8123
Mailing address
361 W 30TH ST APT 1B, NEW YORK, NY 10001-2749
(646) 761-8123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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