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Organization

BOUNCE BACK PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL H EVORA MS, PT (PRESIDENT)
(212) 741-5544
Entity
Organization

Contact information

Practice address
430 W 24TH ST, SUITE 1-F, NEW YORK, NY 10011-1334
(212) 741-5544
(212) 741-5895
Mailing address
430 W 24TH ST, SUITE 1-F, NEW YORK, NY 10011-1334
(212) 741-5544
(212) 741-5895

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
013912
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
020224
NY
261QP2000X
Physical Therapy Clinic/Center
027038
NJ

Other

Enumeration date
03/08/2006
Last updated
08/20/2008
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