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Organization
LIFE PT ONLINE, P.L.L.C.
Active
Organization
LIFE PT ONLINE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA MARIE PECK PT (PHYSICAL THERAPIST/OWNER)
(631) 742-4282
Entity
Organization
Contact information
Practice address
199 ORCHARD RD, EAST PATCHOGUE, NY 11772-5510
(631) 742-4282
Mailing address
PO BOX 395, BROOKHAVEN, NY 11719-0395
(631) 742-4282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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