Organization Name: | SPEONK PHYSICAL THERAPY |
NPI Number: | 1730216409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG A BANGER (OWNER) |
Mailing Address: | 295 Montauk Highway Village Square #12 Speonk |
State: | NY US |
Postal Code: | 119720586 |
Phone Number: | 6313253400 |
Fax Number: | 6313253407 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0260201 |
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 |