Organization
KHAIRUL PEARSON, P.T.A., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAIRUL PEARSON P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(631) 680-1407
Entity
Organization
Contact information
Practice address
54 WELLSLEY LN, CORAM, NY 11727-1013
(631) 680-1407
Mailing address
PO BOX 1417, ROCKY POINT, NY 11778-1417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006564-1
NY
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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