Organization
TANDEM IN CARE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAXMI DE JESUS PT, DPT (MANAGER/OWNER)
(516) 382-7379
Entity
Organization
Contact information
Practice address
1467 BELLMORE AVE, NORTH BELLMORE, NY 11710-5501
(516) 382-7379
Mailing address
1467 BELLMORE AVE, NORTH BELLMORE, NY 11710-5501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
06/10/2019
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