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Organization
LIFE REHAB PT PC
Active
Organization
LIFE REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ALY (OWNER)
(631) 746-8750
Entity
Organization
Contact information
Practice address
3910 CHURCH AVE, BROOKLYN, NY 11203-2915
(631) 746-8750
Mailing address
PO BOX 211026, BROOKLYN, NY 11221-7026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037263
NY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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