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CID DIVINAGRACIA
Physical Therapist
NPI: 1538105374IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
026537(NY)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 610 W 150TH ST
NEW YORK, NY 10031 - Phone
- (212) 281-4400
Quick Facts
- NPI
- 1538105374
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 15
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