515 Physical Therapy LLC

NPI #1043314172 in Hauppauge, New York

Provider Information

NPI Number: 1043314172
Entity Type: Organization
Organization Name: 515 Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 515 PHYSICAL THERAPY LLC
Address 2: SUITE 101
City: Hauppauge
State: New York
ZIP Code: 11788
Phone: (631) 265-2225

Authorized Official

Name: MR. PAUL J DIOGUARDI JR., PT
Title: PHYSICAL THERAPIST
Phone: (631) 473-5036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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