Professional Orthopedic and Sports Physical Therapy, P.c.

NPI #1851897375 in Medford, New York

Provider Information

NPI Number: 1851897375
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 3, 2018
Last Updated: Apr 3, 2018

Practice Location

Address: 1733 N OCEAN AVE STE A
City: Medford
State: New York
ZIP Code: 11763-2606
Phone: (631) 207-3600

Authorized Official

Name: KATHLEEN BRUSH
Title: CREDENTIALING MANAGER
Phone: (631) 359-5805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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