Prescription Exercise LLC
Physical Therapist in Port Jefferson Station, NY. Organization (NPI-2).
NPI number1528831740
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1528831740
- Entity type
- Organization (NPI-2)
- Legal business name
- Prescription Exercise LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2023
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
6 Roosevelt AvePort Jefferson Station, NY 11776-3364
Phone 631-509-0910 · Fax 631-509-0911
Mailing address
6 Roosevelt AvePort Jefferson Station, NY 11776-3364
Phone 631-509-0910 · Fax 631-509-0911
Authorized official
Liz Cruz
Manager
5164458799
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