Professional Orthopedic and Sports Physical Therapy, PC

NPI #1619327715 in Syosset, New York

Provider Information

NPI Number: 1619327715
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy, PC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2016
Last Updated: Mar 29, 2018

Practice Location

Address: 180 MICHAEL DR
City: Syosset
State: New York
ZIP Code: 11791-5318
Phone: (718) 819-6805

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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