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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
KERRI WILKINSON (MANAGER OF CREDENTIALING)
(631) 359-5859
Entity
Organization
Contact information
Practice address
971F MAIN ST FL 1, HOLBROOK, NY 11741-1605
(631) 590-3868
(631) 590-3871
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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