Back in Action Physical Therapy
NPI #1104076413 in Stony Brook, New York
Provider Information
- NPI Number
- 1104076413
- Entity Type
- Organization
- Organization Name
- Back in Action Physical Therapy
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 23, 2008
- Last Updated
- Sep 23, 2008
Practice Location
- Address
- 55 HOPEWELL DR
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2340
- Phone
- (631) 258-9538
Authorized Official
- Name
- MR. MICHAEL V PROCACCINI, P.T . M.S.
- Title
- PHYSICAL THERAPIST
- Phone
- (631) 941-3295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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