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Organization
THERAPY DEPOT INC
Active
Organization
THERAPY DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABINA BALIC (CEO)
(917) 500-7971
Entity
Organization
Contact information
Practice address
4222 KETCHAM ST, 12D, ELMHURST, NY 11373-2368
(917) 500-7971
Mailing address
4222 KETCHAM ST, 12D, ELMHURST, NY 11373-2368
(917) 500-7971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
025953
NY
225X00000X
Occupational Therapist
Primary
013454
NY
235Z00000X
Speech-Language Pathologist
010204
NY
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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