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Organization
KENETIC PHYSICAL THERAPY PC
Active
Organization
KENETIC PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIEKE KE DPT (OWNER)
(646) 420-8374
Entity
Organization
Contact information
Practice address
21955 74TH AVE FL 2, OAKLAND GARDENS, NY 11364-3031
(646) 420-8374
Mailing address
21955 74TH AVE FL 2, OAKLAND GARDENS, NY 11364-3031
(646) 420-8374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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