Organization
OPTIMUM PERFORMANCE PHYSICAL THERAPY & TRAINING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT RADOMSKI PT (OWNER)
(516) 765-1637
Entity
Organization
Contact information
Practice address
4217 MERRICK RD, MASSAPEQUA, NY 11758-6015
(516) 765-1637
(516) 977-0799
Mailing address
209 MONROE ST, MASSAPEQUA PARK, NY 11762-2423
(516) 765-1637
(516) 977-0799
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0183841
NY
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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