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1174162440
GREAT WESTERN PHYSICAL THERAPY PC
ASTORIA, NY
NPI
1174162440
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Entity Type
Organization
Authorized Contact
MARK DAVYDOV
Physical Therapist
929-340-1606
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2020-01-03
Last Update Date
2020-01-03
Business Address
GREAT WESTERN PHYSICAL THERAPY PC
3175 29TH ST APT A7
ASTORIA, NY 11106-3328
Phone number: 929-340-1606
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Mailing Address
GREAT WESTERN PHYSICAL THERAPY PC
3175 29TH ST APT A7
ASTORIA, NY 11106-3328
Phone number: 929-340-1606
Copy
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