Provider First Line Business Practice Location Address:
90 EAST SHORE ROAD INSIDE EQUINOX
Provider Second Line Business Practice Location Address:
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
GREAT NECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-684-1122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2008