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General NPI Number Information
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NPI Number | 1568301992
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Entity Type | Organization
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Legal Business Name | KINES PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 3265 JOHNSON AVE STE 211
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City | BRONX
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State | NY
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Zip | 10463-3539
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Country | US
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Telephone | 929-755-2682
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Fax | 929-810-3278
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Provider Business Mailing Address
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Address Line | 3656 JOHNSON AVE APT 6G
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City | BRONX
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State | NY
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Zip | 10463-1616
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Country | US
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Telephone | 929-755-2682
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Fax | 929-810-3278
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDO LAKES
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Credential | DPT, PT, OCS
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Telephone | 929-755-2682
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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 |
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License Number State |
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