Gold Coast Physical Therapists & Therapy Assistants

NPI 1013203975 - Physical Therapist - 225100000X

NPI Details
NPI 1013203975
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATHLEEN S KATHLEEN
Position CREDENTALING
Phone (631) 656-5665
Fax (631) 656-5664
Practice Location
309 MIDDLE COUNTRY ROAD
SUITE 202
SMITHTOWN NY, 11787, US
Phone (631) 656-5665
Fax (631) 656-5664
Business Location
755 NEW YORK AVE
SUITE 106
HUNTINGTON NY, 11743, US
Phone (631) 351-7676
Fax (631) 351-7667
Toxanomy
Taxonomy Code 225100000X
License State
License Number
Remove 1013203975 NPI Number
 

According to our database, Gold Coast Physical Therapists & Therapy Assistants NPI is 1013203975, taxonomy code is 225100000X Gold Coast Physical Therapists & Therapy Assistants physically located at 309 Middle Country Road, Smithtown NY, 11787. NPI Number 1033115704 has the healthcare provider type.

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1013203975 NPI number is provided on an as is basis without warranty of any kind. 1013203975 is maintained by the National Plan & Provider Enumeration System. The contents of Gold Coast Physical Therapists & Therapy Assistants are for informational purposes only.