| NPI | 1255928693 |
|---|---|
| Doing Business As | SUMMERLIN PELVIC AND PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | SHOSHANA IZKHAKOV Owner, Clinic Director 631-388-8716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-01-13 |