Organization
BALANCED GAIT PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN THOMAS (PHYSICAL THERAPIST)
(631) 338-4073
Entity
Organization
Contact information
Practice address
160 COMMACK RD STE LL3, COMMACK, NY 11725-3412
(631) 338-4073
Mailing address
2 DALTON CT, SOUTH HUNTINGTON, NY 11746-4530
(631) 338-4073
(631) 873-4030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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