Organization
BACK ON TRACK PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JOSEPH WEEKS P.T. (OWNER/ PHYSICAL THERAPIST)
(631) 766-1991
Entity
Organization
Contact information
Practice address
472 MONTAUK HWY, UNIT #2, EAST QUOGUE, NY 11942-3930
(631) 766-1991
(631) 728-7029
Mailing address
9 BEECHNUT CT, EAST QUOGUE, NY 11942-4710
(631) 766-1991
(631) 728-7029
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
020636
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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