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1093081473
EBTEHAL I MOHAMED
STATEN ISLAND, NY
NPI
1093081473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022868)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- EBTEHAL I MOHAMED
58 BELAIR LN
STATEN ISLAND, NY 10305-3067
Phone number: 917-476-7552
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Mailing Address
-- EBTEHAL I MOHAMED
58 BELAIR LN
STATEN ISLAND, NY 10305-3067
Phone number: 917-476-7552
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