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Organization

XTREME HOME PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN THOMPSON DPT (CEO)
(718) 675-9912
Entity
Organization

Contact information

Practice address
14908 41ST AVE FL 2, FLUSHING, NY 11355-1041
(718) 675-9912
Mailing address
14908 41ST AVE FL 2, FLUSHING, NY 11355-1041
(718) 675-9912

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
028132
NY

Other

Enumeration date
03/13/2017
Last updated
04/20/2017
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