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Rejomon Philip, PT

Physical Therapist in Jamaica, NY. Individual provider (NPI-1).

NPI number1669990602
StatusActive
Last updated in NPPESOct 30, 2018

Details

NPI
1669990602
Entity type
Individual (NPI-1)
Name
Rejomon Philip
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2017
Last updated
Oct 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist041943NYYes

Practice location

17900 Linden Blvd
Jamaica, NY 11425-2528

Phone 718-526-1000

Mailing address

215 Biltmore Ave
Elmont, NY 11003-1537

Other practice locations

72 Franklin Ave Ste 1
Franklin Square, NY 11010-2528

Phone 516-499-0693

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