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1215316021
SUTPHIN PHYSICAL THERAPY PC
JAMAICA, NY
NPI
1215316021
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Entity Type
Organization
Authorized Contact
LAWRENCE TATEM
Owner
718-739-1455
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 016439)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
SUTPHIN PHYSICAL THERAPY PC
11024 SUTPHIN BLVD
JAMAICA, NY 11435-5716
Phone number: 718-739-1455
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Mailing Address
SUTPHIN PHYSICAL THERAPY PC
11024 SUTPHIN BLVD
JAMAICA, NY 11435-5716
Phone number: 718-739-1455
Copy
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