Organization
.PHYSICAL THERAPY FOR THE 21ST CENTURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE M. POSTUPACK P.T. (PHYSICAL THERAPIST)
(631) 666-8100
Entity
Organization
Contact information
Practice address
24 BRENTWOOD RD, BAY SHORE, NY 11706-8011
(631) 666-8100
(631) 665-2227
Mailing address
24 BRENTWOOD RD, BAY SHORE, NY 11706-8011
(631) 666-8100
(631) 665-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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