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Organization
LMP PHYSICAL THERAPY PC
Active
Organization
LMP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M PERON PT (CORPORATE OFFICER)
(631) 399-3095
Entity
Organization
Contact information
Practice address
61 BILTMORE DR, MASTIC BEACH, NY 11951-1311
(631) 871-0117
Mailing address
61 BILTMORE DR, MASTIC BEACH, NY 11951-1311
(631) 871-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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