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

MRS. MARION HUTCHINSON ILLICH, P.T.

Active Sole Proprietor

MRS. MARION HUTCHINSON ILLICH, P.T. is a Physical Therapy Clinic healthcare provider located in NORTHPORT, New York. NPI 1811132764 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · NORTHPORT, NY

Registration Details

NPI Number
1811132764
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2008 (17.709896803576 yrs)
Last Updated
Dec 6, 2008
License
003909 (NY)
Sole Proprietor
Yes

Practice Information

Address
65 SCUDDER PL
NORTHPORT, NY, 117683026
Browse NY providers · Browse ZIP 11768
Phone
6317546791
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.