Professional Orthopedic and Sports Physical Therapy, PC

NPI #1083159834 in Hauppauge, New York

Provider Information

NPI Number: 1083159834
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy, PC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 4, 2017
Last Updated: Mar 28, 2018

Practice Location

Address: 800 VETERANS MEMORIAL HWY
City: Hauppauge
State: New York
ZIP Code: 11788-2948
Phone: (631) 676-7304

Authorized Official

Name: KATHLEEN BRUSH
Title: CREDENTIALING MANAGER
Phone: (631) 359-5859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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