Organization
PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL A WESTON (CEO)
(631) 467-3700
Entity
Organization
Contact information
Practice address
20 PEACHTREE CT STE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
Mailing address
20 PEACHTREE CT STE 105, HOLBROOK, NY 11741-4616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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