DEVINE PHYSICAL THERAPY ACUPUNCTURE AND MASSAGE THERAPY PLLC NPI 1952830960

NPI Information

NPI: 1952830960
Provider Name: DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY
ZIP 11768
Phone: (631) 320-1100
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DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC is a multi-specialty clinic center in Fort Salonga, NY. DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC NPI is 1952830960. The provider is registered as an organization entity type.

The provider's business location address is:

10 FORT SALONGA RD STE 2A
FORT SALONGA, NY
ZIP 11768-400
Phone: (631) 320-1100
Fax: (631) 343-7174

The provider's authorized official is Jennifer Olsen .
The authorized official title is Manager and has the following contact phone number (631) 320-1100.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 5/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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