Creative Care Pt PC

NPI #1134478290 in Far Rockaway, New York

Provider Information

NPI Number: 1134478290
Entity Type: Organization
Organization Name: Creative Care Pt PC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 11404 BEACH CHANNEL DR
City: Far Rockaway
State: New York
ZIP Code: 11694-2211
Phone: (718) 945-6100

Authorized Official

Name: AMGAD SALIB MIKHAIL
Title: PT
Phone: (718) 496-2726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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