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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