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 |