| NPI | 1487786158 |
|---|---|
| Doing Business As | EAST NORTHPORT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A DESOUSA Office Administrator 631-757-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013896-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018783-0) |
| 2251C2600X (Licence: NY 013896-1) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: NY 013896-1) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 013896-1) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 018783-0) | |
| 2251H1200X Physical Therapist, Hand (Licence: NY 013896-1) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NY 013896-1) | |
| 2251S0007X Physical Therapist, Sports (Licence: NY 013896-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 013896-1) | |
| 225200000X Physical Therapy Assistant (Licence: NY 002632-1) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-04-20 |