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1932217767
JACK JOE
BRONX, NY
NPI
1932217767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 6156-1)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. JACK JOE P.T., M.S.
3202 BAINBRIDGE AVE
BRONX, NY 10467-3947
Phone number: 718-881-9525
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Mailing Address
Mr. JACK JOE P.T., M.S.
20920 26TH AVE
BAYSIDE, NY 11360-2441
Phone number:
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