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1861104705
SPARK PHYSICAL THERAPY PLLC
ELMONT, NY
NPI
1861104705
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Entity Type
Organization
Authorized Contact
RANDOLPH D BENDO
Owner
516-812-6145
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
SPARK PHYSICAL THERAPY PLLC
1763 DUTCH BROADWAY
ELMONT, NY 11003-5044
Phone number: 516-812-6145
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Mailing Address
SPARK PHYSICAL THERAPY PLLC
1763 DUTCH BROADWAY
ELMONT, NY 11003-5044
Phone number: 516-812-6145
Copy
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