Organization
REVAMP PHYSICAL THERAPY REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVERA VOSKAMP DPT (CEO)
(631) 482-2754
Entity
Organization
Contact information
Practice address
285 COMMACK RD STE 10, COMMACK, NY 11725-3403
(631) 482-2754
Mailing address
121 LA BONNE VIE DR APT G, EAST PATCHOGUE, NY 11772-4398
(631) 482-2754
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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