Organization
CERTIFIED PHYSICAL THERAPY ASSOICIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANN SCHUPPE PT (PRESIDENT, OWNER)
(516) 676-1445
Entity
Organization
Contact information
Practice address
136 GLENWOOD RD., GLENWOOD LANDING, NY 11547-0274
(516) 676-1445
(516) 676-1449
Mailing address
136 GLENWOOD RD., PO BOX 274, GLENWOOD LANDING, NY 11547-0274
(516) 676-1445
(516) 676-1449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10709
NY
225100000X
Physical Therapist
Primary
12323
NY
2251H1200X
Hand Physical Therapist
12323
NY
2251X0800X
Orthopedic Physical Therapist
10709
NY
Other
Enumeration date
08/23/2006
Last updated
12/18/2008
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