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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