Creative Care Pt Pc

NPI 1134478290 - Physical Therapist - 225100000X

NPI Details
NPI 1134478290
Enumeration Date 09/05/2012
Last Updated 09/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AMGAD SALIB AMGAD
Position PT
Phone (718) 945-6100
Fax
Practice Location
11404 BEACH CHANNEL DR
FAR ROCKAWAY NY, 11694-2211, US
Phone (718) 945-6100
Fax
Business Location
8800 20TH AVE
APARTMENT 3M
BROOKLYN NY, 11214-4849, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Montana
License Number 028129
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According to our database, Creative Care Pt Pc NPI is 1134478290, taxonomy code is 225100000X and license number is 028129, license state is located at Montana. Creative Care Pt Pc physically located at 11404 Beach Channel Dr, Far Rockaway NY, 11694-2211. NPI Number 1033115704 has the healthcare provider type.

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1134478290 NPI number is provided on an as is basis without warranty of any kind. 1134478290 is maintained by the National Plan & Provider Enumeration System. The contents of Creative Care Pt Pc are for informational purposes only.