Organization Name: | SOUND BODY PHYSICAL THERAPY |
NPI Number: | 1174677892 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT R. ECKARDT (EXECUTIVE DIRECTOR) |
Mailing Address: | 317 Broadway Amityville |
State: | NY US |
Postal Code: | 117012709 |
Phone Number: | 6317891900 |
Fax Number: | 6317891985 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 081873-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |