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Organization
SPORTS PHYSICAL THERAPY EAST, PC
Active
Organization
SPORTS PHYSICAL THERAPY EAST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDI BETH CHERILL PT, ATC (PRESIDENT)
(631) 375-4626
Entity
Organization
Contact information
Practice address
518 MONTAUK HWY, STE 101, AMAGANSETT, NY 11930
(631) 267-9100
(631) 267-9111
Mailing address
PO BOX 1560, 518 MONTAUK HWY, AMAGANSETT, NY 11930-1560
(631) 267-9100
(631) 267-9111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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