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Organization
SOUTH SHORE WELLNESS PHYSICAL THERAPY PC
Active
Organization
SOUTH SHORE WELLNESS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA MAPA PT (OWNER)
(631) 828-4545
Entity
Organization
Contact information
Practice address
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776-6000
(631) 828-4545
(631) 828-4552
Mailing address
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776-6000
(631) 828-4545
(631) 828-4552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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