NORTH FORK PHYSICAL THERAPY PC
Physical Therapy at Main Rd, Northampton, NY

License number
New York 019081-1
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: MARC P WAHL PT
Title: PHYSICAL THERAPIST
Phone: (631) 208-2900
Address
Address 2
31 Main Rd SUITE 4, Northampton, NY 11901
PO Box 2442, Aquebogue, NY 11931
National Provider ID: 1972655041
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH FORK PHYSICAL THERAPY, PC

PO Box 2442, Aquebogue, NY 11931

Registration:
Mar 23, 2000
State ID:
2490027
Business type:
Domestic Professional Corporation
Marc Wali, 185 Shr Ln, Peconic, NY 11958 (Physical)

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