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Organization
ST JOSEPHS PHYSICAL THERAPY PC
Active
Organization
ST JOSEPHS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WELLEN SEDRAK PT (PRESIDENT)
(201) 888-1549
Entity
Organization
Contact information
Practice address
1440 FOREST AVE STE 8, STATEN ISLAND, NY 10302-2235
(201) 888-1549
Mailing address
120 DIAMOND LN, OLD BRIDGE, NJ 08857-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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