Organization
NORTH FORK PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC P WAHL PT (PHYSICAL THERAPIST)
(631) 208-2900
Entity
Organization
Contact information
Practice address
31 MAIN RD, SUITE 4, RIVERHEAD, NY 11901-1953
(631) 208-2900
(631) 208-2929
Mailing address
PO BOX 2442, AQUEBOGUE, NY 11931-2442
(631) 208-2900
(631) 208-2929
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
019081-1
NY
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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