Registry details
Type
Organization
Primary specialty
Physical Therapist
Enumerated
Jul 2, 2007
License(s)
019516-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 16 MALER LANE | Patchogue, NY 11772-3158 | 631-786-0788 |
| LOCATION | 1745 UNION BLVD | Bay Shore, NY 11706-7952 | 631-665-0634 |
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