Organization
RESTORATIVE PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUITO EBUNA PT (OWNER/PHYSICAL THERAPIST)
(516) 442-7900
Entity
Organization
Contact information
Practice address
121 S OCEAN AVE, SUITE 2, FREEPORT, NY 11520-4558
(516) 442-7900
(516) 442-7900
Mailing address
121 S OCEAN AVE, SUITE 2, FREEPORT, NY 11520-4558
(516) 442-7900
(516) 442-7900
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
020516
NY
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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