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Organization
PRIMAVERA PHYSICAL THERAPY PC
Active
Organization
PRIMAVERA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAOUF AKL DPT (DPT)
(732) 867-4717
Entity
Organization
Contact information
Practice address
280 BROADWAY, SUITE 2, NEWBURGH, NY 12550-5408
(732) 867-4717
Mailing address
280 BROADWAY, SUITE 2, NEWBURGH, NY 12550-5408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028150
NY
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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