Organization
COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC
Active
Organization
COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD RYAN SMITH M.S.,P.T. (DIRECTOR PHYSICAL THERAPIST)
(631) 585-5915
Entity
Organization
Contact information
Practice address
15 HAWKINS AVE, RONKONKOMA, NY 11779-5832
(631) 585-5915
(631) 585-5916
Mailing address
15 HAWKINS AVE, RONKONKOMA, NY 11779-5832
(631) 585-5915
(631) 585-5916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022363
NY
Other
Enumeration date
09/24/2006
Last updated
08/22/2020
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