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Organization
JEFFERSON SPORTS & PHYSICAL THERAPY, PC
Active
Organization
JEFFERSON SPORTS & PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JOSEPH HEIM PTMS (OWNER/PHYSICAL THERAPIST)
(631) 928-2277
Entity
Organization
Contact information
Practice address
460 COUNTY ROAD 111, #15, MANORVILLE, NY 11949
(631) 909-8712
(631) 909-8714
Mailing address
460 COUNTY ROAD 111, #15, MANORVILLE, NY 11949
(631) 909-8712
(631) 909-8714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007458
NY
Other
Enumeration date
06/16/2009
Last updated
07/20/2022
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