Organization
ANNETTE MARSHALL PHYSICAL THERAPY CARE
Active
Organization
ANNETTE MARSHALL PHYSICAL THERAPY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE MARSHALL (OWNER)
(631) 267-3755
Entity
Organization
Contact information
Practice address
530 MONTAUK HWY, SUITE 201C, AMAGANSETT, NY 11930-2110
(631) 267-3755
(631) 267-3755
Mailing address
PO BOX 2065, AMAGANSETT, NY 11930-2065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013019-1
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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