PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC
Restorative Service Providers at Glen St, Glen Cove, NY

License number
New York 015585-1
Category
Restorative Service Providers
Type
Neurology
License number
New York 015585-1
Category
Restorative Service Providers
Type
Sports
License number
New York 015585-1
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: MR. JONATHAN A VENEGAS PT
Title: MEMBER
Phone: (516) 277-1153
Address
Address
70 Glen St SUITE 380, Glen Cove, NY 11542
National Provider ID: 1821262809
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC

Glen Cove, NY

Industry:
Medical Doctor's Office
Registration:
Apr 7, 2008
Phone:
(516) 277-1153 (Phone)
Addresses:
70 Gln St / SUITE 380, Glen Cove, NY 11542 (Physical)
70 Gln St, Glen Cove, NY 11542
State ID:
3654897
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Principal, Member:
Jonathan A. Venegas (Principal, Member)

Restorative Service Providers licenses in New York




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