Professional Orthopedic and Sports Physical Therapy, PC

NPI #1467986372 in Glendale, New York

Provider Information

NPI Number: 1467986372
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy, PC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 18, 2017
Last Updated: Apr 3, 2018

Practice Location

Address: 8989 UNION TPKE
City: Glendale
State: New York
ZIP Code: 11385-8010
Phone: (718) 819-6805

Authorized Official

Name: KATHLEEN BRUSH
Title: CREDENTIALING MANAGER
Phone: (631) 359-5859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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