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Organization
DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Active
Organization
DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OLSEN P.T., D.P.T. (MANAGER)
(631) 320-1100
Entity
Organization
Contact information
Practice address
10 FORT SALONGA RD STE 2A, FORT SALONGA, NY 11768-1400
(631) 320-1100
(631) 343-7174
Mailing address
PMB 373, 186 SEVEN FARMS DRIVE, STE F, DANIEL ISLAND, SC 29492
(516) 662-9962
(631) 343-7174
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/05/2017
Last updated
05/03/2019
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