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NPI Code Detail

MEDICARE: GREENWOOD PHYSICAL THERAPY PC

MEDICARE: GREENWOOD PHYSICAL THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1992403406
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENWOOD PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 631 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1304
Country : US
Telephone Number : 929-366-4284
Fax Number :
Provider Business Practice Location Address
First Line : 631 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1304
Country : US
Telephone Number : 929-366-4284
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOHAMED SHEHAB
Credential :
Telephone Number : 929-366-4284
Provider Enumeration Date : 02/23/2023
Last Update Date : 02/23/2023

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Directions to “GREENWOOD PHYSICAL THERAPY PC ” Practice Location

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