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Organization

HUMAN PERFORMANCE PHYSICAL THERAPY, PC

Active
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Organization

HUMAN PERFORMANCE PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA GRAUER DPT (OWNER/PHYSICAL THERAPIST)
(646) 483-1434
Entity
Organization

Contact information

Practice address
2104 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3965
(347) 840-2858
Mailing address
209-80 18TH AVE, 1A, BAYSIDE, NY 11360
(646) 483-1434

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029631
NY

Other

Enumeration date
01/18/2011
Last updated
01/18/2011
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