Organization
REARDON PHYSICAL THERAPY, PLLC
Active
Other names
PREP Physio Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY REARDON DPT, CSCS (OWNER)
(631) 647-0523
Entity
Organization
Contact information
Practice address
4 CEDAR AVE, ISLIP, NY 11751-3802
(631) 647-0523
(631) 870-0294
Mailing address
36 HANCOCK RD, WEST ISLIP, NY 11795-1738
(631) 926-5907
(631) 926-5907
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
036545
NY
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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