South Shore Wellness Physical Therapy PC
NPI #1013505734 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1013505734
- Entity Type
- Organization
- Organization Name
- South Shore Wellness Physical Therapy PC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 1041 ROUTE 112
- State
- New York
- ZIP Code
- 11776-6000
- Phone
- (631) 828-4545
Authorized Official
- Name
- GLENDA MAPA, PT
- Title
- OWNER
- Phone
- (631) 828-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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