Organization
.PHYSICAL THERAPY FOR THE 21ST CENTURY
Active
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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