| NPI | 1235356163 |
|---|---|
| Doing Business As | SOUTHEASTERN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KENNETH MILES EVP & CFO 631-580-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2017-11-20 |