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Organization
OPTIMAL CARE PHYSICAL THERAPY, PC
Active
Organization
OPTIMAL CARE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA ANN ROSARIO PT,DPT (VICE PRESIDENT/OWNER)
(631) 689-6666
Entity
Organization
Contact information
Practice address
215 HALLOCK ROAD, SUITE 5, STONY BROOK, NY 11790
(631) 689-6666
(631) 689-6668
Mailing address
215 HALLOCK ROAD, SUITE 5, STONY BROOK, NY 11790
(631) 689-6666
(631) 689-6668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q4WXW1
MEDICARE
NY
Enumeration date
08/09/2007
Last updated
08/09/2007
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