Organization
BABY'S BLOOM REHAB 1 PT. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAMAL ISMAIL MOUSA PT (PRESIDENT)
(718) 745-7200
Entity
Organization
Contact information
Practice address
6903 4TH AVE, FIRST FLOOR, BROOKLYN, NY 11209-1509
(718) 745-7200
(718) 745-1877
Mailing address
6903 4TH AVE, FIRST FLOOR, BROOKLYN, NY 11209-1509
(718) 745-7200
(718) 745-1877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
018836
NY
Other
Enumeration date
10/04/2008
Last updated
01/12/2022
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