Individual
CAROLYN MICHELITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 ROCKY POINT LANDING RD, ROCKY POINT, NY 11778-9106
(631) 821-7240
(631) 821-7240
Mailing address
127 ROCKY POINT LANDING RD, ROCKY POINT, NY 11778-9106
(631) 821-7240
(631) 821-7240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012007
NY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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