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Organization

PRIME ORTHOPEDIC REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAL PORATH PT, MPT (OWNER)
(201) 503-7173
Entity
Organization

Contact information

Practice address
4065 YARMOUTH D, BOCA RATON, FL 33434-4544
(917) 797-0583
(201) 503-7177
Mailing address
111 DEAN DR, TENAFLY, NJ 07670-2764
(201) 503-7173
(201) 503-7177

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/09/2021
Last updated
04/09/2021
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