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Organization
REVOLUTION RUNNING PHYSICAL THERAPY,PLLC
Active
Organization
REVOLUTION RUNNING PHYSICAL THERAPY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE NIEMCZYK DPT (OWNER)
(516) 376-9202
Entity
Organization
Contact information
Practice address
971 MAIN ST, HOLBROOK, NY 11741-1609
(516) 376-9202
Mailing address
971 MAIN ST, HOLBROOK, NY 11741-1609
(516) 376-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
02/23/2021
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