KEVIN PHELAN

BAY SHORE, NY
NPI1689331613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   007659)
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
KEVIN PHELAN
94 W MAIN ST
BAY SHORE, NY 11706-8365
Phone number: 631-983-3724
Mailing Address
KEVIN PHELAN
576 BROADHOLLOW RD STE PROEX
MELVILLE, NY 11747-5002
Phone number: 631-359-5859