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Organization
MATILDA ABIOLA REHAB CARE LLC
Active
Organization
MATILDA ABIOLA REHAB CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATILDA ABIMBOLA ABIOLA (REGISTERED PHYSICAL THERAPIST)
(917) 412-0190
Entity
Organization
Contact information
Practice address
1592 E91ST STREET, BROOKLYN, NY 11236-5218
(917) 412-0190
(866) 230-0943
Mailing address
1592 E 91ST ST, BROOKLYN, NY 11236-5218
(917) 412-0190
(866) 230-0943
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015651
NY
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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