Traci Fox Rongo, MSPT

NPI #1033261771 in Greenport, New York

Provider Information

NPI Number: 1033261771
Entity Type: Individual
Name: Traci Fox Rongo, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 201 MANOR PL
City: Greenport
State: New York
ZIP Code: 11944-1222
Phone: (631) 477-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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