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1104014950
TRAVIS WHITLOCK
NEW HYDE PARK, NY
NPI
1104014950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 021858)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- TRAVIS WHITLOCK PT
3 DELAWARE DR
NEW HYDE PARK, NY 11042-1116
Phone number: 516-622-6161
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Mailing Address
-- TRAVIS WHITLOCK PT
3 DELAWARE DR
NEW HYDE PARK, NY 11042-1116
Phone number: 516-622-6161
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