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Organization
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Active
Organization
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VAKNIN (VP)
(516) 321-7801
Entity
Organization
Contact information
Practice address
210 N CENTRAL AVE STE 330, HARTSDALE, NY 10530-1951
(914) 946-5685
Mailing address
3 HUNTINGTON QUADRANGLE STE 103N, MELVILLE, NY 11747-4601
(516) 474-2816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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