Gold Coast Physical Therapist and Physical Therapy Assistant Pllc

NPI #1033241302 in Commack, New York

Provider Information

NPI Number: 1033241302
Entity Type: Organization
Organization Name: Gold Coast Physical Therapist and Physical Therapy Assistant Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5036 JERICHO TPKE
Address 2: SUITE 301
City: Commack
State: New York
ZIP Code: 11725-2812
Phone: (631) 486-5286

Authorized Official

Name: DONNA GERACI
Title: OFFICE MANAGER
Phone: (631) 486-5286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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