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Organization
FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES
Active
Organization
FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES
Active
Other names
IPA SOHO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD GILDEN DPT (PRESIDENT)
(212) 226-4816
Entity
Organization
Contact information
Practice address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 226-4816
(212) 226-4814
Mailing address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 226-4816
(212) 226-4814
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
021468
NY
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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