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Organization

THERAKIDS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IMRUL KABIR DPT (PRESIDENT)
(718) 314-6763
Entity
Organization

Contact information

Practice address
8450 169TH ST APT 415, JAMAICA, NY 11432-2016
(718) 314-6763
(347) 923-3217
Mailing address
8450 169TH ST APT 415, JAMAICA, NY 11432-2016
(718) 314-6763
(347) 923-3217

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600307658
NY
Enumeration date
04/05/2022
Last updated
04/05/2022
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