Professional Occupational & Physical Therapy, Pllc
NPI #1073063731 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1073063731
- Entity Type
- Organization
- Organization Name
- Professional Occupational & Physical Therapy, Pllc
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Oct 6, 2016
- Last Updated
- Mar 30, 2018
Practice Location
- Address
- 5380 NESCONSET HWY
- State
- New York
- ZIP Code
- 11776-2056
- Phone
- (631) 474-4096
Authorized Official
- Name
- KATHLEEN BRUSH
- Title
- CREDENTIALING MANAGER
- Phone
- (718) 819-6805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
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