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1174753016
TERRY LEE LANDRUM
NEW YORK, NY
NPI
1174753016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 022495)
Enumeration Date
2009-07-24
Last Update Date
2009-07-24
Business Address
Mr. TERRY LEE LANDRUM PT
428 E 58TH ST SUITE 1
NEW YORK, NY 10022-2329
Phone number: 646-226-1447
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Mailing Address
Mr. TERRY LEE LANDRUM PT
1040 1ST AVE #333
NEW YORK, NY 10022-2991
Phone number: 646-226-1447
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