Organization
CROSSROADS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA PERON MSPT (CEO)
(631) 226-2918
Entity
Organization
Contact information
Practice address
375 MAIN ST, ISLIP, NY 11751-3542
(631) 229-2918
Mailing address
375 MAIN ST, ISLIP, NY 11751-3542
(631) 229-2918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026543
NY
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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