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Organization
JCM PHYSICAL THERAPY PC
Active
Organization
JCM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MICENA (FOUNDER)
(631) 591-0838
Entity
Organization
Contact information
Practice address
806 E MAIN ST, RIVERHEAD, NY 11901-2563
(631) 591-0838
(631) 591-0841
Mailing address
806 E MAIN ST, RIVERHEAD, NY 11901-2563
(631) 591-0838
(631) 591-0841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
03/24/2015
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