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1043240898
MICHELLE JACK
NEW YORK, NY
NPI
1043240898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 028207)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
-- MICHELLE JACK PT
21 W 86TH ST SUITE 101
NEW YORK, NY 10024-3616
Phone number: 212-580-0125
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Mailing Address
-- MICHELLE JACK PT
145 ALBANY AVE APT 4A
BROOKLYN, NY 11213-1701
Phone number: 212-580-0125
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