| NPI | 1962770602 |
|---|---|
| Other Name | SPORTS REHAB WH |
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH STOEBE Physical Therapist 631-726-8514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: NY 0344081) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-06-20 |