Organization
BALANCE BOOSTER PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ABDELRAHMAN DPT (PRESIDENT)
(347) 217-0568
Entity
Organization
Contact information
Practice address
530 OVINGTON AVE, APT 3R, BROOKLYN, NY 11209-1725
(347) 217-0568
Mailing address
530 OVINGTON AVE, APT 3R, BROOKLYN, NY 11209-1725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033702
NY
Other
Enumeration date
08/06/2014
Last updated
09/25/2014
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