Robert Glicken RPT

NPI 1174609507 - Physical Therapist - 2251X0800X

NPI Details
NPI 1174609507
Gender Male
Enumeration Date 10/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14930 88TH ST
HOWARD BEACH NY, 11414-1438, US
Phone (718) 835-6003
Fax (771) 884-5077
Business Location
149-30 88 STREET
HOWARD BEACH NY, 11414, US
Phone (718) 835-6003
Fax (771) 884-5077
Toxanomy
Taxonomy Code 2251X0800X
License State New York
License Number 5041863
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According to our database, Robert Glicken RPT NPI is 1174609507, taxonomy code is 2251X0800X and license number is 5041863, license state is located at New York. Robert Glicken RPT physically located at 14930 88th St, Howard Beach NY, 11414-1438. NPI Number Robert Glicken RPT has the Individual type.

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1174609507 NPI number is provided on an as is basis without warranty of any kind. 1174609507 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Glicken RPT are for informational purposes only.