Organization
RESTORATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUITO ZERDA EBUNA P.T. (PHYSICAL THERAPIST/OWNER)
(516) 782-1853
Entity
Organization
Contact information
Practice address
3637 LIBBY LN, WANTAGH, NY 11793-1416
(516) 782-1853
(516) 390-0078
Mailing address
3637 LIBBY LN, WANTAGH, NY 11793-1416
(516) 782-1853
(516) 390-0078
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
020516
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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