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1396174959
LINE VINCENT
BAYSIDE, NY
NPI
1396174959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 36355)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- LINE VINCENT PT
22122 43RD AVE
BAYSIDE, NY 11361-2425
Phone number: 929-229-9797
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Mailing Address
-- LINE VINCENT PT
22122 43RD AVE
BAYSIDE, NY 11361-2425
Phone number: 929-229-9797
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