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Mina Ebrahiem Thaofelis, PT

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

NPI number1750872016
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1750872016
Entity type
Individual (NPI-1)
Name
Mina Ebrahiem Thaofelis
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2018
Last updated
May 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist039427-1NYYes

Practice location

2039 Palmer Ave Ste 202
Larchmont, NY 10538-2483

Phone 661-448-0297

Mailing address

13534 82nd Ave
Jamaica, NY 11435-1322

Phone 661-448-0297

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