Gnlc Physical Therapy Pllc
NPI #1376930974 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1376930974
- Entity Type
- Organization
- Organization Name
- Gnlc Physical Therapy Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2015
- Last Updated
- Jun 29, 2015
Practice Location
- Address
- 500 PORTION RD
- Address 2
- SUITE5
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4587
- Phone
- (631) 588-2100
Authorized Official
- Name
- MS. JILL SZUFLADA
- Title
- OFFICE MANAGER
- Phone
- (631) 588-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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