MICHAEL WIRTH

LAKE RONKONKOMA, NY
NPI1306180583
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  033990)
Enumeration Date2012-11-12
Last Update Date2018-12-06
Business Address
Dr. MICHAEL WIRTH DPT
650 HAWKINS AVE STE 4
LAKE RONKONKOMA, NY 11779-2366
Phone number: 631-981-7422
Mailing Address
Dr. MICHAEL WIRTH DPT
650 HAWKINS AVE STE 4
LAKE RONKONKOMA, NY 11779-2366
Phone number: 631-981-7422
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