South Shore Wellness Physical Therapy Pc

LBN: South Shore Wellness Physical Therapy Pc
South Shore Wellness Physical Therapy Pc is an health care organization with primary practice located at 1041 Route 112 , Port Jefferson Station NY 11776-6000. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. South Shore Wellness Physical Therapy Pc can be contacted via phone (631) 828-4545, or through Mapa, Glenda via phone (631) 828-4545.

Contact Information

Primary practice address
1041 Route 112 Port Jefferson Station NY 11776-6000
Phone: (631) 828-4545
Fax: (631) 828-4552
Website:
Map and Directions
Authorized official contact:
Name: Mapa, Glenda Physical Therapist (PT)
Phone: (631) 828-4545

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1013505734
LBN Legal business name South Shore Wellness Physical Therapy Pc
DBA Doing business as
Authorized official Mapa, Glenda Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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