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Organization
SOUTH SHORE PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE
Active
Organization
SOUTH SHORE PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE
Active
Other names
Integrated Therapeutic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY GLOVER (CEO)
(631) 848-9108
Entity
Organization
Contact information
Practice address
35 RAILROAD AVE, BOX 1264, CENTER MORICHES, NY 11934-6000
(631) 841-3899
Mailing address
PO BOX 1264, CENTER MORICHES, NY 11934-7264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/26/2015
Last updated
02/24/2016
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