Organization
PARAGON PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A. CHRISTIE PT (PRESIDENT/OWNER)
(631) 242-9200
Entity
Organization
Contact information
Practice address
2100 DEER PARK AVE, STE 5, DEER PARK, NY 11729-2119
(631) 242-9200
(631) 242-9202
Mailing address
2100 DEER PARK AVE, STE 5, DEER PARK, NY 11729-2119
(631) 242-9200
(631) 242-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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