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Organization

CHRIS PRENTISS PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
R CHRIS PRENTISS PT,OCS,CERTMDT,CSCS (OWNER)
(631) 462-0118
Entity
Organization

Contact information

Practice address
763 LARKFIELD RD, SUITE 101, COMMACK, NY 11725-3131
(631) 462-0118
(631) 462-0827
Mailing address
763 LARKFIELD RD, SUITE 101, COMMACK, NY 11725-3131
(631) 462-0118
(631) 462-0827

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
09/21/2011
Last updated
09/24/2011
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  • EDI platform