Organization
REACH FOR THE STARS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GEORGE LUCCA II P.T. (OWNER/PHYSICAL THERAPIST)
(631) 786-7911
Entity
Organization
Contact information
Practice address
48 NEIL DR, SMITHTOWN, NY 11787-1241
(631) 786-7911
Mailing address
48 NEIL DR, SMITHTOWN, NY 11787-1241
(631) 786-7911
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
018817-1
NY
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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