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Organization

CT PHYSICAL THERAPY CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHESTER JAY REGANIT TOLENTINO PHYSICAL THERAPIST (OWNER)
(347) 989-7979
Entity
Organization

Contact information

Practice address
4310 52ND ST, WOODSIDE, NY 11377-4542
(347) 989-7979
(718) 255-1288
Mailing address
4310 52ND ST, WOODSIDE, NY 11377-4542
(347) 989-7979
(718) 255-1288

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029899
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3257756
NY
Enumeration date
02/14/2011
Last updated
10/22/2012
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