Therasports Plus Physical Therapy

NPI #1114028636 in Commack, New York

Provider Information

NPI Number: 1114028636
Entity Type: Organization
Organization Name: Therasports Plus Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Sep 26, 2006
Last Updated: Jul 16, 2008

Practice Location

Address: 366 VETERANS MEMORIAL HWY
Address 2: SUITE #2
City: Commack
State: New York
ZIP Code: 11725-4387
Phone: (631) 543-2068

Authorized Official

Name: MR. WALTER PAUL VANCURA, P.T.
Title: OWNER/PHYSICAL THERAPIST
Phone: (631) 543-2068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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