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Organization
PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION
Active
Organization
PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BLAIR (OWNER)
(631) 775-0971
Entity
Organization
Contact information
Practice address
285 SILLS RD, BUILDING 10 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 775-0971
Mailing address
285 SILLS RD, BUILDING 10 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 775-0971
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
NULL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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