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Organization

A&D PHYSICAL THERAPY PC

Active
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Organization

A&D PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YOUNGSOO OH P.T.,LAC (OWNER)
(718) 886-8461
Entity
Organization

Contact information

Practice address
3409 MURRAY ST FL 2, FLUSHING, NY 11354-3948
(718) 886-8461
Mailing address
3409 MURRAY ST FL 2, FLUSHING, NY 11354-3948
(718) 886-8461

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16067
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02762316
NY
Enumeration date
12/10/2012
Last updated
12/10/2012
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