Michele Dykstra PT

NPI 1639321433 - Physical Therapist - 225100000X

NPI Details
NPI 1639321433
Gender Female
Enumeration Date 10/13/2008
Last Updated 10/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-4109
Fax (631) 376-3618
Business Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-4109
Fax (631) 376-3618
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 014670
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According to our database, Mrs. Michele Dykstra PT NPI is 1639321433, taxonomy code is 225100000X and license number is 014670, license state is located at New York. Michele Dykstra PT physically located at 1000 Montauk Hwy, West Islip NY, 11795-4927. NPI Number Michele Dykstra PT has the Individual type.

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1639321433 NPI number is provided on an as is basis without warranty of any kind. 1639321433 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Dykstra PT are for informational purposes only.