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Organization

KINETOREHAB PHYSICAL THERAPY PLLC

Active
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Organization

KINETOREHAB PHYSICAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY PALABAN AGAPITO PT (PHYSICAL THERAPIST / OWNER)
(212) 365-4237
Entity
Organization

Contact information

Practice address
3201 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10468-1247
(718) 365-3747
(718) 365-3749
Mailing address
3201 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10468-1247
(718) 365-3747
(718) 365-3749

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028117-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028117
LICENSE
NY
Enumeration date
10/04/2011
Last updated
03/07/2017
About Stedi
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  • EDI platform