Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 6, 2025
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 576 BROADHOLLOW RD | Melville, NY 11747-5012 | |
| LOCATION | 2920 HEMPSTEAD TPKE STE 6 | Levittown, NY 11756-1402 | 516-461-6929 |
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