NPI | 1528165123 |
---|---|
Doing Business As | GOLD COAST PHYSICAL THERAPY AND SPORTS TRAINING |
Entity Type | Organization |
Authorized Contact | GLENN BITRAN Physical Therapist 631-262-7855 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017191-1) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2020-08-22 |