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Organization
ULTRA HEALTH PT & PTA, PLLC
Active
Organization
ULTRA HEALTH PT & PTA, PLLC
Active
Other names
Ultra Health Physical & Aquatic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD W KALTEN JR. PT (OWNER/DIRECTOR)
(631) 328-5920
Entity
Organization
Contact information
Practice address
53 BRENTWOOD RD, SUITE B, BAY SHORE, NY 11706-6923
(631) 328-5920
(631) 328-5921
Mailing address
53 BRENTWOOD RD, SUITE B, BAY SHORE, NY 11706-6923
(631) 328-5920
(631) 328-5921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021499-1
NY
225200000X
Physical Therapy Assistant
003072-1
NY
Other
Enumeration date
02/03/2009
Last updated
02/04/2009
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