Professional Occupational & Physical Therapy, Pllc

NPI #1598126534 in Medford, New York

Provider Information

NPI Number: 1598126534
Entity Type: Organization
Organization Name: Professional Occupational & Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 18, 2016
Last Updated: Mar 28, 2018

Practice Location

Address: 1733 N OCEAN AVE STE A
City: Medford
State: New York
ZIP Code: 11763-2606
Phone: (631) 207-3600

Authorized Official

Name: KATHLEEN BRUSH
Title: CREDENTIALING MANAGER
Phone: (718) 819-6805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Physical Therapist	225100000X	Primary

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