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General NPI Number Information
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NPI Number | 1073339743
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Entity Type | Individual
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Provider Name | SALLY PLATT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 559 GRAMATAN AVE STE 203
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City | FLEETWOOD
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State | NY
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Zip | 10552-2156
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Country | US
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Telephone | 914-313-8034
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Fax |
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Provider Business Mailing Address
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Address Line | 972 BRUSH HOLLOW RD FL 4
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City | WESTBURY
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State | NY
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Zip | 11590-1740
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Country | US
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Telephone | 516-474-2816
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 053541
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License Number State | NY
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