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Organization
LEISURE PHYSICAL THERAPY PC
Active
Organization
LEISURE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PASKIEWICZ PT (PRESIDENT)
(631) 804-9410
Entity
Organization
Contact information
Practice address
6144 ROUTE 25A STE 13, WADING RIVER, NY 11792-2008
(631) 804-9410
(631) 345-8919
Mailing address
6 SWEETBERRY AVE, CENTER MORICHES, NY 11934-1417
(631) 804-9410
(631) 821-8366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016275-1
NY
Other
Enumeration date
03/06/2008
Last updated
07/11/2023
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