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General NPI Number Information
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NPI Number | 1275578924
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Entity Type | Organization
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Legal Business Name | THERAPY-IN-MOTION PHYSICAL THERAPY & REHABILITATION SERVICES, PC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 856 46TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-1617
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Country | US
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Telephone | 917-494-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 856 46TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-1617
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Country | US
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Telephone | 917-494-7748
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. ABE KOPOLOVICH
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Credential | P.T.
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Telephone | 917-494-7748
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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 | 027576-1
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License Number State | NY
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