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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) 359-5805
Entity
Organization
Contact information
Practice address
40 CARMANS RD, MASSAPEQUA, NY 11758-4350
(516) 862-5010
(516) 862-5001
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
06/03/2022
Last updated
06/03/2022
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