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Organization
TEDOF3W PHYSICAL THERAPY
Active
Organization
TEDOF3W PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROTH PT (PRESIDENT)
(917) 774-9997
Entity
Organization
Contact information
Practice address
424 W 110TH ST, APT 15A, NEW YORK, NY 10025-2408
(917) 774-9997
Mailing address
424 W 110TH ST, APT 15A, NEW YORK, NY 10025-2408
(917) 774-9997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0287971
NY
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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