Organization
PROEX PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (MANAGER OF CREDENTIALING)
(631) 359-5805
Entity
Organization
Contact information
Practice address
19 NEEDHAM ST STE 201, NEWTON, MA 02461-1622
(617) 303-0455
(617) 303-0450
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/20/2023
Last updated
10/29/2024
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