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Organization
THERAPEUTIC J8 REHAB PT PC
Active
Organization
THERAPEUTIC J8 REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNEMMA MARIE MESA DPT (PRESIDENT)
(347) 255-6152
Entity
Organization
Contact information
Practice address
8604 96TH ST APT A6, WOODHAVEN, NY 11421-1751
(347) 255-6152
(888) 502-9368
Mailing address
8604 96TH ST APT A6, WOODHAVEN, NY 11421-1751
(347) 255-6152
(888) 502-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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