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Organization
GOLD COAST PHYSICAL THERAPY AND PHYSCIAL THERAPY ASST PLLC
Active
Organization
GOLD COAST PHYSICAL THERAPY AND PHYSCIAL THERAPY ASST PLLC
Active
Other names
Gold Coast Physical Therapy and Sports Training
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN BITRAN MPT (PHYSICAL THERAPIST)
(631) 262-7855
Entity
Organization
Contact information
Practice address
755 NEW YORK AVENUE, SUITE 106, HUNTINGTON, NY 11743
(631) 351-7676
(631) 351-7667
Mailing address
755 NEW YORK AVENUE, SUITE 106, HUNTINGTON, NY 11743
(631) 351-7676
(631) 351-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017191-1
NY
Other
Enumeration date
09/19/2006
Last updated
08/22/2020
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