Professional Orthopedic and Sports Physical Therapy, P.c.

NPI #1821508292 in Merrick, New York

Provider Information

NPI Number: 1821508292
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Oct 11, 2017
Last Updated: Apr 2, 2018

Practice Location

Address: 2108 MERRICK MALL
City: Merrick
State: New York
ZIP Code: 11566-3626
Phone: (516) 868-5302

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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