Latitude Physical Therapy

NPI #1326816992 in Sag Harbor, New York

Provider Information

NPI Number: 1326816992
Entity Type: Organization
Organization Name: Latitude Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Dec 13, 2023
Last Updated: Feb 9, 2024

Practice Location

Address: 34 BAY ST STE 205-206
City: Sag Harbor
State: New York
ZIP Code: 11963-3104
Phone: (631) 241-3698

Authorized Official

Name: GEORGE JAY WILSON
Title: CEO
Phone: (631) 919-5189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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