| NPI | 1083155246 |
|---|---|
| Doing Business As | SPECTRUM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUCKER CEO 631-580-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-08-12 |