Professional Orthopedic and Sports Physical Therapy PC

NPI #1730619362 in Hewlett, New York

Provider Information

NPI Number: 1730619362
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy PC
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 15, 2017
Last Updated: Apr 2, 2018

Practice Location

Address: 1465 BROADWAY
City: Hewlett
State: New York
ZIP Code: 11557-1426
Phone: (516) 374-4248

Authorized Official

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

Specialties & Taxonomy Codes

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

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