Organization
CIVIL PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD CIVIL PT, DPT, OCS (OWNER)
(347) 815-5228
Entity
Organization
Contact information
Practice address
310 CLARKSON AVE APT 208, BROOKLYN, NY 11226-2999
(347) 815-5228
Mailing address
310 CLARKSON AVE APT 208, BROOKLYN, NY 11226-2999
(347) 815-5228
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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