Organization
THERAQUATICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEHILA BETH KAHAN PT, DPT (PHYSICAL THERAPIST)
(718) 252-3035
Entity
Organization
Contact information
Practice address
1307 E 21ST ST, BROOKLYN, NY 11210-4510
(718) 252-3035
Mailing address
1307 E 21ST ST, BROOKLYN, NY 11210-4510
(718) 252-3035
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
029438-1
NY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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