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Organization

BRILLIANT HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA GEMMEL P.T. (DIRECTOR)
(212) 333-7224
Entity
Organization

Contact information

Practice address
1560 BROADWAY FL 10, SUITE 1007, NEW YORK, NY 10036-1537
(212) 333-7224
Mailing address
1560 BROADWAY 10TH FL, SUITE 1007, NEW YORK, NY 10036
(212) 333-7224

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251E1200X
Ergonomics Physical Therapist
2251S0007X
Sports Physical Therapist
225700000X
Massage Therapist

Other

Enumeration date
05/23/2014
Last updated
05/23/2014
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