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Organization
PHYSICAL THERAPY REHAB@HOME PC
Active
Organization
PHYSICAL THERAPY REHAB@HOME PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LESLIE PT (OWNER)
(516) 996-4783
Entity
Organization
Contact information
Practice address
36 NORTHFIELD RD, GLEN COVE, NY 11542-1742
(516) 996-4783
(516) 676-8666
Mailing address
36 NORTHFIELD RD, GLEN COVE, NY 11542-1742
(516) 996-4783
(516) 676-8666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005016
NYS LICENSE
NY
Enumeration date
09/26/2007
Last updated
09/26/2007
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