Organization
ISLAND MOBILITY PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITHENDRA KUMAR ATTILURU (PHYSICAL THERAPIST)
(732) 692-4141
Entity
Organization
Contact information
Practice address
656 PECONIC ST, RONKONKOMA, NY 11779-6345
(732) 692-4141
Mailing address
656 PECONIC ST, RONKONKOMA, NY 11779-6345
(732) 692-4141
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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