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Organization
REVOLUTION PHYSICAL THERAPY NYC PLLC
Active
Organization
REVOLUTION PHYSICAL THERAPY NYC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORAINE ANTOINE PT, DPT (MEMBER)
(917) 363-6433
Entity
Organization
Contact information
Practice address
165 BROADWAY FL 23, NEW YORK, NY 10006-1404
(917) 922-2682
Mailing address
893 MYRTLE AVE, BROOKLYN, NY 11206-6654
(917) 922-2682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016510
NY
225100000X
Physical Therapist
Primary
029251
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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