Professional Orthopedic and Sports Physical Therapy, PC
NPI #1093160590 in Stony Brook, New York
Provider Information
- NPI Number
- 1093160590
- Entity Type
- Organization
- Organization Name
- Professional Orthopedic and Sports Physical Therapy, PC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 3, 2016
- Last Updated
- May 3, 2016
Practice Location
- Address
- 1 CHAPMAN PKWY
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-1756
- Phone
- (718) 819-6805
Authorized Official
- Name
- KATHLEEN BRUSH
- Title
- CREDENTIALING MANAGER
- Phone
- (718) 819-6805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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