Individual
BETH COCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
293 WOODHULL AVE, PORT JEFFERSON STATION, NY 11776-1328
(610) 256-1989
Mailing address
293 WOODHULL AVE, PORT JEFFERSON STATION, NY 11776-1328
(610) 256-1989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037249
NY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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