Imperium Physical Therapy Pllc

NPI #1295458404 in Wantagh, New York

Provider Information

NPI Number: 1295458404
Entity Type: Organization
Organization Name: Imperium Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 22, 2022
Last Updated: Sep 22, 2022

Practice Location

Address: 1897 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-3930
Phone: (516) 490-1480

Authorized Official

Name: FRANK PROCHILO, DPT
Title: OWNER
Phone: (516) 490-1480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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