Organization
ACTIVE MOBILITY PHYSICAL THERAPY PC
Active
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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