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Organization

SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC

Active
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Organization

SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC

Active
Other names
Evolve Physical Therapy and Sports Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS WINSTON EZRICK PT (OWNER)
(718) 258-3300
Entity
Organization

Contact information

Practice address
3319 AVENUE N, BROOKLYN, NY 11234-2605
(718) 258-3300
(718) 258-3301
Mailing address
3319 AVENUE N, BROOKLYN, NY 11234-2605
(718) 258-3300
(718) 258-3301

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—

Other

Enumeration date
02/10/2010
Last updated
12/10/2025
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