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Organization
MANUAL & SPORTS PHYSICAL THERAPY, PC
Active
Organization
MANUAL & SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE MOORE (OFFICE MANAGER)
(631) 725-4450
Entity
Organization
Contact information
Practice address
167 MAIN ST, SOUTHAMPTON, NY 11968-4823
(631) 283-4190
(631) 283-7650
Mailing address
167 MAIN ST, SOUTHAMPTON, NY 11968-4823
(631) 283-4190
(631) 283-7650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
01/18/2006
Last updated
07/21/2022
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