Organization
COREFIT PHYSICAL THERAPY, OCCUPATIONAL THERAPY WELLNESS PLLC
Active
Organization
COREFIT PHYSICAL THERAPY, OCCUPATIONAL THERAPY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN EATON ALAI-TAFTI PT (OWNER/PT)
(516) 909-8347
Entity
Organization
Contact information
Practice address
16 CAROLINE AVE, SMITHTOWN, NY 11787-5742
(516) 909-8347
(631) 656-9264
Mailing address
16 CAROLINE AVE, SMITHTOWN, NY 11787-5742
(516) 909-8347
(631) 656-9264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025992-1
NY
225X00000X
Occupational Therapist
012200
NY
Other
Enumeration date
06/14/2010
Last updated
09/08/2010
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