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1548866312
KENNY TA
NEW YORK, NY
NPI
1548866312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 046749)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
KENNY TA
150 W END AVE
NEW YORK, NY 10023-5702
Phone number: 212-600-4781
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Mailing Address
KENNY TA
150 W END AVE
NEW YORK, NY 10023-5702
Phone number: 212-600-4781
Copy
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