L.I. PRO PHYSICAL THERAPY P.C.
Physical Therapy at Canby Ct, West Islip, NY

License number
New York 031214-1
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: DR. JUSTIN ANDREW MINERVA DPT
Title: OWNER
Phone: (631) 873-6100
Address
Address
11 Canby Ct, West Islip, NY 11795
National Provider ID: 1104164656
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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L.I. PRO PHYSICAL THERAPY PC

West Islip, NY

Registration:
Dec 19, 2012
Addresses:
11 Canby Ct, West Islip, NY 11795 (Physical)
11 Canby Ct, West Islip, NY (Physical)
State ID:
4335517
Business type:
Domestic Professional Corporation
Justin A. Minerva, 11 Canby Ct, West Islip, NY 11795 (Physical)

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