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Organization
IMPERATIVE PHYSICAL THERAPY PC
Active
Organization
IMPERATIVE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA KATAEVA (PRESIDENT)
(917) 689-8072
Entity
Organization
Contact information
Practice address
7716 164TH ST, FRESH MEADOWS, NY 11366-1227
(718) 504-6323
Mailing address
8815 63RD AVE, REGO PARK, NY 11374-2813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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