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Organization

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(631) 359-5805
Entity
Organization

Contact information

Practice address
299 MARKET ST STE 150, SADDLE BROOK, NJ 07663-5324
(201) 820-4020
(201) 820-4018
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/30/2024
Last updated
08/30/2024
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