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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING)
(631) 359-5859
Entity
Organization
Contact information
Practice address
99 BUSINESS PARK DR, ARMONK, NY 10504-1720
(914) 219-8515
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
04/02/2018
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