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Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING COORDINATOR MANAGER)
(631) 359-5859
Entity
Organization
Contact information
Practice address
800 VETERANS MEMORIAL HWY, HAUPPAUGE, NY 11788-2948
(631) 676-7304
(631) 676-7309
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/07/2016
Last updated
03/27/2018
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