| NPI | 1063457661 |
|---|---|
| Former Legal Business Name | SUNSHINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC |
| Entity Type | Organization |
| Authorized Contact | VENISE MULE-GLASS Director/Owner 631-499-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 5744-1) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-03-13 |