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Organization
NY PHYSICAL THERAPY & WELLNESS BOHEMIA, PLLC
Active
Organization
NY PHYSICAL THERAPY & WELLNESS BOHEMIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S PERRY DPT (OWNER/DIRECTOR)
(631) 319-6911
Entity
Organization
Contact information
Practice address
1 CORPORATE DRIVE, SUITE GL-1, BOHEMIA, NY 11716-2663
(631) 319-6911
(631) 319-6909
Mailing address
1 CORPORATE DRIVE, SUITE GL-1, BOHEMIA, NY 11716-2663
(631) 319-6911
(631) 319-6909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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