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Organization
JIRAN SON PHYSICAL THERAPY PC
Active
Organization
JIRAN SON PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIRAN SON RPT (PRESIDENT)
(718) 888-1641
Entity
Organization
Contact information
Practice address
15301 NORTHERN BLVD, SUITE 2G, FLUSHING, NY 11354-5035
(718) 888-1641
(718) 888-2514
Mailing address
15301 NORTHERN BLVD, SUITE 2G, FLUSHING, NY 11354-5035
(718) 888-1641
(718) 888-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019613
NY
Other
Enumeration date
05/01/2012
Last updated
05/14/2013
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