Organization
ACTIVE EAST PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW P MOBIUS PT (OWNER)
(631) 377-3488
Entity
Organization
Contact information
Practice address
1370 MAJORS PATH, SUITE A, SOUTHAMPTON, NY 11968-2431
(631) 377-3488
Mailing address
PO BOX 967, SOUTHAMPTON, NY 11969-0967
(631) 377-3488
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0163951
NY
Other
Enumeration date
03/05/2010
Last updated
04/17/2012
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