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Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1477470813
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
127 E MAIN ST, SMITHTOWN, NY, 117872840
Phone
(631) 880-7577

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NY

All Addresses

MAILING

12 RIDGEWOOD AVE

BRENTWOOD, NY, 117172106

LOCATION

127 E MAIN ST

SMITHTOWN, NY, 117872840

(631) 880-7577