Function Physical Therapy and Chiropractic Pllc

NPI #1447653266 in Bayport, New York

Provider Information

NPI Number: 1447653266
Entity Type: Organization
Organization Name: Function Physical Therapy and Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Oct 7, 2014
Last Updated: Oct 21, 2014

Practice Location

Address: 734 MONTAUK HWY
City: Bayport
State: New York
ZIP Code: 11705-1621
Phone: (631) 404-7073

Authorized Official

Name: MISS DEIRDRE MCCOOL
Title: BILLER
Phone: (631) 404-7073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X	Primary

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