NPI 1023654563
Revamp Physical Therapy Rehab PLLC
Practice location
- Address
- 285 Commack Rd STE 10, Commack, NY 11725-3403
- Phone
- (631) 482-2754
- Mailing address
- 121 La Bonne Vie Dr APT G, East Patchogue, NY 11772-4398
Authorised official
- Name
- Sylvera Voskamp
- Title
- Ceo
- Phone
- (631) 482-2754
Registered specialties
Physical Therapy Clinic/Center
Primary
Registry record
- NPI
- 1023654563
- Entity type
- Organization
- NPI issued
- 19 Nov 2019
- Record last updated
- 19 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.