Organization
PPT THERAPIES OF WESTERN SUFFOLK, PT, OT, SLP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MUOLO (OFFICE MANAGER)
(631) 499-4344
Entity
Organization
Contact information
Practice address
77 VETERANS HWY, SUITE 5, COMMACK, NY 11725-3410
(631) 499-4344
(631) 499-4383
Mailing address
77 VETERANS HWY, SUITE 5, COMMACK, NY 11725-3410
(631) 499-4344
(631) 499-4383
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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