| NPI | 1760070999 |
|---|---|
| Former Legal Business Name | COMMOTION PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRIAN CRANE Physical Therapist 631-484-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |