| Organization Name: | SPECTRUM PHYSICAL THERAPY PC |
| NPI Number: | 1578646220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY A WELCH (PRESIDENT) |
| Mailing Address: | 100 Hospital Rd Suite 112 East Patchogue |
| State: | NY US |
| Postal Code: | 117724821 |
| Phone Number: | 6314565512 |
| Fax Number: | 6314565514 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 04/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 022096-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |