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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
KERRI WILKINSON (CREDENTIALING MANAGER)
(631) 359-5859
Entity
Organization
Contact information
Practice address
165 N VILLAGE AVE STE 127, ROCKVILLE CENTRE, NY 11570-3763
(516) 418-8972
(516) 418-8976
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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