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Victor Michael Sackett III, PT

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

NPI number1982608766
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1982608766
Entity type
Individual (NPI-1)
Name
Mr. Victor Michael Sackett III
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2005
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist014736-1NYYes

Practice location

14 Cosgrove Dr
Glen Cove, NY 11542-2601

Phone 516-695-4998 · Fax 516-403-1862

Mailing address

14 Cosgrove Dr
Glen Cove, NY 11542-2601

Phone 516-695-4998 · Fax 516-403-1862

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