Organization
POSITIVE OUTCOME PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRIAM C. MOORE MSPT/ CIMI /OSC (PRESIDENT / DIRECTOR)
(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
OCCUPATIONAL THERAPY
—
252Y00000X
Early Intervention Provider Agency
Primary
PHYSTHERAPY-004015
NY
252Y00000X
Early Intervention Provider Agency
SPEECH THERAPY
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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