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Organization

ELEVATE DYNAMICS PHYSICAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW CHAN PT, DPT (PHYSICAL THERAPIST)
(516) 754-0490
Entity
Organization

Contact information

Practice address
5714 OLD SUNRISE HWY, MASSAPEQUA, NY 11758-5541
(516) 500-3691
Mailing address
21 BARNUM AVE, PLAINVIEW, NY 11803-6005
(516) 754-0490

Taxonomy

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

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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