| NPI | 1659631745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GEORGE LUCCA Owner/Physical Therapist 631-786-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 018817-1) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |