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Organization

ACTIVE MOBILITY PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHURSHID IBRAHIMI PT (DIRECTOR)
(516) 680-5484
Entity
Organization

Contact information

Practice address
59 MARTIN RD N, BETHPAGE, NY 11714-5119
(516) 680-5484
Mailing address
59 MARTIN RD N, BETHPAGE, NY 11714-5119

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/26/2024
Last updated
07/30/2025
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