Individual
MR. BRENT ANTHONY SIMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3521 WESTMINSTER RD, OCEANSIDE, NY 11572
(516) 816-5732
(516) 992-0420
Mailing address
3521 WESTMINSTER RD, OCEANSIDE, NY 11572
(516) 816-5732
(516) 992-0420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0183921
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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