Organization
PROFESSIONAL ORTHO & SPORTS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN AGRELO (REGIONAL BUSINESS MANAGER)
(718) 767-0610
Entity
Organization
Contact information
Practice address
2132 MERRICK MALL, MERRICK, NY 11566-3626
(516) 668-8200
(516) 668-8208
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(718) 767-0610
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
03/30/2018
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