MRS. Kelly J. Sack, M.P.T.

NPI #1760538631 in Bohemia, New York

Provider Information

NPI Number
1760538631
Entity Type
Individual
Name
MRS. Kelly J. Sack, M.P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Pediatrics
Credential
M.P.T.
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
45 CROSSWAY E
ZIP Code
11716-1204
Phone
(631) 218-4949

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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