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Organization

CREATIVE PHYSICAL THERAPY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WADEAA EDWAR MINA IBRAHIMM PT (OWNER/PHYSICAL THERAPIST)
(646) 415-2448
Entity
Organization

Contact information

Practice address
542 WESTFIELD DR, VALLEY COTTAGE, NY 10989-1320
(646) 415-2448
Mailing address
542 WESTFIELD DR, VALLEY COTTAGE, NY 10989-1320
(646) 415-2448

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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