Organization
ALL PRO PERFORMANCE PHYICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS LEOGRANDE MSPT (PRESIDENT)
(516) 996-1179
Entity
Organization
Contact information
Practice address
1056 W JERICHO TPKE, SUITE 3, SMITHTOWN, NY 11787-3212
(631) 486-9100
(631) 486-9102
Mailing address
1056 W JERICHO TPKE, SUITE 3, SMITHTOWN, NY 11787-3212
(631) 486-9100
(631) 486-9102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018666
NY
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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