DR. Michael Wirth, DPT
NPI #1306180583 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1306180583
- Entity Type
- Individual
- Name
- DR. Michael Wirth, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Nov 12, 2012
- Last Updated
- Dec 6, 2018
Practice Location
- Address
- 650 HAWKINS AVE
- Address 2
- STE 4
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-2366
- Phone
- (631) 981-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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