Organization
PROFESSIONAL REHAB P.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD IMRAN P.T. (PRESIDENT)
(631) 775-7850
Entity
Organization
Contact information
Practice address
700 PATCHOGUE YAPHANK RD STE 49, MEDFORD, NY 11763-2239
(631) 775-7580
(631) 775-7853
Mailing address
700 PATCHOGUE YAPHANK RD STE 49, MEDFORD, NY 11763-2239
(631) 775-7850
(631) 775-7853
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
019908
NY
Other
Enumeration date
08/19/2007
Last updated
04/06/2015
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