Martin Joseph Lupo, PTA
NPI #1013997394 in Centereach, New York
Provider Information
- NPI Number
- 1013997394
- Entity Type
- Individual
- Name
- Martin Joseph Lupo, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 141 MARK TREE RD
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-2221
- Phone
- (631) 467-4235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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