| NPI | 1982657433 |
|---|---|
| Former Legal Business Name | SOUTHEASTERN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUCKER CEO 914-294-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-12-08 |