Organization
BEACH WELLNESS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY CAVALLO PT (OWNER)
(516) 330-9213
Entity
Organization
Contact information
Practice address
522 W BEECH ST, LONG BEACH, NY 11561-3010
(516) 330-9213
Mailing address
522 W BEECH ST, LONG BEACH, NY 11561-3010
(516) 330-9213
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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