MRS. Marion Hutchinson Illich, P.T.

NPI #1811132764 in Northport, New York

Provider Information

NPI Number
1811132764
Entity Type
Individual
Name
MRS. Marion Hutchinson Illich, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Physical Therapy
Credential
P.T.
Enumeration Date
Dec 6, 2008
Last Updated
Dec 6, 2008

Practice Location

Address
65 SCUDDER PL
ZIP Code
11768-3026
Phone
(631) 754-6791

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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