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Organization
SPECTRUM PHYSICAL THERAPY PC
Active
Organization
SPECTRUM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A WELCH DPT (PRESIDENT)
(631) 456-5512
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 112, EAST PATCHOGUE, NY 11772-4821
(631) 456-5512
(631) 456-5514
Mailing address
100 HOSPITAL RD, SUITE 112, EAST PATCHOGUE, NY 11772-4821
(631) 456-5512
(631) 456-5514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022096-1
NY
Other
Enumeration date
10/23/2006
Last updated
04/21/2008
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