MR. Dax Christopher Campbell, PT

NPI #1811137508 in Patchogue, New York

Provider Information

NPI Number: 1811137508
Entity Type: Individual
Name: MR. Dax Christopher Campbell, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 20, 2009
Last Updated: Mar 2, 2009

Practice Location

Address: 680 ROUTE 112 STE C
City: Patchogue
State: New York
ZIP Code: 11772-1344
Phone: (631) 289-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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