Premiere Physical Therapy, PC

NPI #1366689200 in Warick, New York

Provider Information

NPI Number: 1366689200
Entity Type: Organization
Organization Name: Premiere Physical Therapy, PC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 56 ONDERDONK RD
City: Warick
State: New York
ZIP Code: 10990
Phone: (718) 758-4520

Authorized Official

Name: RAOUF AKL
Title: DPT/OWNER
Phone: (718) 758-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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