| NPI | 1770971889 |
|---|---|
| Doing Business As | ACADEMY PT |
| Entity Type | Organization |
| Authorized Contact | KEVIN C WEAVER President 516-707-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0115531) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |