NPI 1972053478
Professional Occupational & Physical Therapy, PLLC
Practice location
- Address
- 1290 Summer St STE 2000, Stamford, CT 06905-5360
- Phone
- (203) 307-4600
- Fax
- (203) 307-4601
- Mailing address
- 576 Broadhollow Rd, Melville, NY 11747-5002
Authorised official
- Name
- Kathleen Brush
- Title
- Credentialing Manager
- Phone
- (631) 359-5859
Registered specialties (2)
Occupational Therapist
Primary
Physical Therapist
Registry record
- NPI
- 1972053478
- Entity type
- Organization
- NPI issued
- 7 Oct 2016
- Record last updated
- 22 Mar 2018
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.