Sheryl Willoughby Forde

NPI #1275809725 in Central Islip, New York

Provider Information

NPI Number: 1275809725
Entity Type: Individual
Name: Sheryl Willoughby Forde
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 29, 2012
Last Updated: Mar 29, 2012

Practice Location

Address: 59 VANDERBILT AVE
City: Central Islip
State: New York
ZIP Code: 11722-1106
Phone: (631) 630-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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