Provider First Line Business Practice Location Address:
1228 WANTAGH AVENUE
Provider Second Line Business Practice Location Address:
SOUTH SHORE PEDIATRIC PHYSICAL THERAPY, LLP
Provider Business Practice Location Address City Name:
WANTAGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-785-5257
Provider Business Practice Location Address Fax Number:
516-785-5154
Provider Enumeration Date:
08/11/2008