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Organization
UNITED PHYSICAL THERAPY PC
Active
Organization
UNITED PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX LOO (ADMIN)
(917) 968-8001
Entity
Organization
Contact information
Practice address
170 AVENUE T, BROOKLYN, NY 11223-3725
(718) 676-7344
(347) 702-8577
Mailing address
170 AVENUE T, BROOKLYN, NY 11223-3725
(718) 676-7344
(347) 702-8577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225100000X
Physical Therapist
025290
NY
225X00000X
Occupational Therapist
008914
NY
225X00000X
Occupational Therapist
016584
NY
Other
Enumeration date
03/21/2011
Last updated
06/14/2012
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