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Organization
PROEX PHYSICAL THERAPY, LLC
Active
Organization
PROEX PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (MANAGER OF CREDENTIALING)
(631) 359-5805
Entity
Organization
Contact information
Practice address
84 HIGHLAND AVE STE 201, SALEM, MA 01970-2736
(978) 741-0880
(978) 740-5595
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
07/20/2023
Last updated
10/29/2024
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