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Chl Physical Therapy Of Li PC

Physical Therapist in Mineola, NY. Organization (NPI-2).

NPI number1245767979
StatusActive
Last updated in NPPESMay 12, 2017

Details

NPI
1245767979
Entity type
Organization (NPI-2)
Legal business name
Chl Physical Therapy Of Li PC
Organization subpart
No
Enumeration date
May 12, 2017
Last updated
May 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist036145NYYes

Practice location

432 1st St
Mineola, NY 11501

Phone 347-659-4810

Mailing address

432 1st St
Mineola, NY 11501

Authorized official

Changhun Lee
President
3476594810

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