| NPI | 1013155746 |
|---|---|
| Doing Business As | ULTRA HEALTH PHYSICAL & AQUATIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | EDWARD W KALTEN Owner/Director 631-328-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021499-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 003072-1) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-04 |