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Organization
GOLD COAST PHYSICAL THERAPISTS & THERAPY ASSISTANTS
Active
Organization
GOLD COAST PHYSICAL THERAPISTS & THERAPY ASSISTANTS
Active
Parent organization
GOLD COAST PHYSICAL THERAPISTS AND THERAPY ASSISTANTS
Other names
Gold Coast Physical Therapy and Sports Training
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLD COAST PHYSICAL THERAPISTS AND THERAPY ASSISTANTS
Authorized official
KATHLEEN S STRATTON (CREDENTALING)
(631) 262-7855
Entity
Organization
Contact information
Practice address
309 MIDDLE COUNTRY ROAD, SUITE 202, SMITHTOWN, NY 11787
(631) 656-5665
(631) 656-5664
Mailing address
755 NEW YORK AVE, SUITE 106, HUNTINGTON, NY 11743
(631) 351-7676
(631) 351-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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