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NPI 1144563990

NPI 1144563990 : CLUTCH PHYSICAL THERAPY PLLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1144563990
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLUTCH PHYSICAL THERAPY PLLC 
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Dates
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    Enumeration Date     |    03/30/2013
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    Last Update Date     |    05/27/2025
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Provider Practice Location Address
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    Address Line         |    1690 2ND AVE PLAZA
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128
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    Country              |    US
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    Telephone            |    212-203-6802
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    Fax                  |    212-377-5741
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Provider Business Mailing Address
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    Address Line         |    1690 2ND AVE PLAZA
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128
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    Country              |    US
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    Telephone            |    212-203-6802
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    Fax                  |    212-377-5741
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Authorized Official
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    Title or Position    |    FOUNDER/CHIEF ATHLETE MECHANIC
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    Name                 |    DR. JOSHUA  GRAHLMAN 
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    Credential           |    DPT
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    Telephone            |    212-203-6802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    032171-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    
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    License Number State |    
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