Devine Physical Therapy, Acupuncture and Massage Therapy, Pllc
NPI #1952830960 in Fort Salonga, New York
Provider Information
- NPI Number
- 1952830960
- Entity Type
- Organization
- Organization Name
- Devine Physical Therapy, Acupuncture and Massage Therapy, Pllc
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 5, 2017
- Last Updated
- May 3, 2019
Practice Location
- Address
- 10 FORT SALONGA RD STE 2A
- City
- Fort Salonga
- State
- New York
- ZIP Code
- 11768-1400
- Phone
- (631) 320-1100
Authorized Official
- Name
- JENNIFER OLSEN, P.T., D.P.T.
- Title
- MANAGER
- Phone
- (631) 320-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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