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Organization
PRAMOD BHANTI, PT, PC
Active
Organization
PRAMOD BHANTI, PT, PC
Active
Other names
Comprehensive Physical Therapy & Rehab.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAMOD BHANTI PT (CHIEF PT & CLINICAL DIRECTOR)
(631) 878-1771
Entity
Organization
Contact information
Practice address
5 UNION AVE, OM PROFESSIONAL CENTER SUITE 1, CENTER MORICHES, NY 11934-3323
(631) 878-1771
(631) 878-3319
Mailing address
PO BOX 577, MORICHES, NY 11955-0577
(631) 878-1771
(631) 878-3319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0086691
NY
Other
Enumeration date
10/06/2006
Last updated
10/05/2007
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