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Organization
SOUTH FORK PHYSICAL THERAPY PC
Active
Organization
SOUTH FORK PHYSICAL THERAPY PC
Active
Parent organization
SOUTH FORK PHYSICAL THERAPY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH FORK PHYSICAL THERAPY PC
Authorized official
MRS. LAUREN DORICE BARRIS PT (VICE PRESIDENT PARTNER PT)
(516) 680-3172
Entity
Organization
Contact information
Practice address
73 SCOTLINE DRIVE, SAGAPONACK, NY 11962-0095
(516) 680-3172
(631) 537-7187
Mailing address
PO BOX 95, SAGAPONACK, NY 11962-0095
(516) 680-3172
(631) 537-7187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
01/07/2008
Last updated
04/02/2008
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