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Colleen Talt, PT, MPT, DPT

Physical Therapist in Northport, NY. Individual provider (NPI-1).

NPI number1518988872
StatusActive
Last updated in NPPESJul 13, 2007

Details

NPI
1518988872
Entity type
Individual (NPI-1)
Name
Ms. Colleen Talt
Credential
PT, MPT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2006
Last updated
Jul 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist024930NYYes

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Phone 631-261-4400

Mailing address

79 Middleville Rd
Northport, NY 11768-2200

Phone 631-261-4400

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