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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GNLC PHYSICAL THERAPY PLLC

Active Organization

GNLC PHYSICAL THERAPY PLLC is a Physical Therapy Assistant organization located in LAKE RONKONKOMA, New York. NPI 1376930974 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE RONKONKOMA, NY

Registration Details

NPI Number
1376930974
Provider Type
Organization
NPI Issued
Apr 21, 2015 (11.318890349739 yrs)
Last Updated
Jun 29, 2015
Licenses
033193 (NY)
22606 (NY)

Practice Information

Address
500 PORTION RD
SUITE5
LAKE RONKONKOMA, NY, 117794587
Browse NY providers · Browse ZIP 11779
Phone
6315882100
Fax
6315882299
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in LAKE RONKONKOMA, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.