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Organization

MATILDA ABIOLA REHAB CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MATILDA ABIMBOLA ABIOLA (REGISTERED PHYSICAL THERAPIST)
(917) 412-0190
Entity
Organization

Contact information

Practice address
1592 E91ST STREET, BROOKLYN, NY 11236-5218
(917) 412-0190
(866) 230-0943
Mailing address
1592 E 91ST ST, BROOKLYN, NY 11236-5218
(917) 412-0190
(866) 230-0943

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015651
NY

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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