Organization
ADVANCE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA FETTEN (MANAGING DIRECTOR)
(516) 827-9446
Entity
Organization
Contact information
Practice address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 679-1207
(516) 679-2684
Mailing address
400 N BROADWAY, SUITE D, JERICHO, NY 11753-2113
(516) 827-9446
(516) 827-0042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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