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Organization
PROACTIVE PHYSICAL THERAPY, PC
Active
Organization
PROACTIVE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MINNICH P.T. (PRESIDENT)
(914) 843-4738
Entity
Organization
Contact information
Practice address
310 CROTON FALLS RD, MAHOPAC, NY 10541-4002
(914) 843-4738
Mailing address
310 CROTON FALLS RD, MAHOPAC, NY 10541-4002
(914) 843-4738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020539
NY
Other
Enumeration date
03/31/2007
Last updated
01/28/2008
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