Professional Occupational & Physical Therapy, Pllc

NPI #1790470060 in Wantagh, New York

Provider Information

NPI Number: 1790470060
Entity Type: Organization
Organization Name: Professional Occupational & Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Apr 11, 2023
Last Updated: Apr 11, 2023

Practice Location

Address: 2237 WANTAGH AVE UNIT A
City: Wantagh
State: New York
ZIP Code: 11793-3945
Phone: (516) 826-0116

Authorized Official

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

Specialties & Taxonomy Codes

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

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