Organization
A POSITIVE PHYSICAL THERAPY APPROACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRIAM C MOORE MSPT (DIRECTOR / PRESIDENT)
(631) 543-6765
Entity
Organization
Contact information
Practice address
137 HARNED RD, COMMACK, NY 11725-4203
(631) 543-6765
(631) 543-0612
Mailing address
137 HARNED RD, COMMACK, NY 11725-4203
(631) 543-6765
(631) 543-0612
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03595677
—
NY
Enumeration date
07/07/2015
Last updated
07/07/2015
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