Organization
STREET PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINA STREET PT (OWNER)
(607) 591-6142
Entity
Organization
Contact information
Practice address
268 CHAMPLIN RD, GROTON, NY 13073-6221
(607) 591-6142
Mailing address
268 CHAMPLIN RD, GROTON, NY 13073-6221
(607) 591-6142
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
01/03/2025
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