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Organization
KAH PREMIUM PHYSICAL THERAPY P.C.
Active
Organization
KAH PREMIUM PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN HARRIS PT,DPT (PRESIDENT/OWNER)
(631) 675-6262
Entity
Organization
Contact information
Practice address
1071 ROUTE 25A, STONY BROOK, NY 11790-1922
(631) 675-6262
(631) 675-6264
Mailing address
1071 ROUTE 25A, STONY BROOK, NY 11790-1922
(631) 675-6262
(631) 675-6264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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