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Organization
KEITH J PENNETTI P.T., PC
Active
Organization
KEITH J PENNETTI P.T., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH J PENETTI PT (OWNER)
(631) 413-1648
Entity
Organization
Contact information
Practice address
243 BOYLE RD, SELDEN, NY 11784-1929
(631) 696-4371
(631) 696-1616
Mailing address
203 E BROADWAY, APT A, PORT JEFFERSON, NY 11777-1263
(631) 413-1648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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