| South Fork Physical Therapy Pc | |
|
73 Scotline Drive, Sagaponack, NY 11962-0095 | |
| (516) 680-3172 | |
| (631) 537-7187 |
| Full Name | South Fork Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 73 Scotline Drive, Sagaponack, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376728501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| South Fork Physical Therapy Pc Po Box 95, Sagaponack, NY 11962-0095 Ph: (516) 680-3172 | South Fork Physical Therapy Pc 73 Scotline Drive, Sagaponack, NY 11962-0095 Ph: (516) 680-3172 |
Jeffrey David Barris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Scotline Drive, Sagaponack, NY 11962 Phone: 516-680-3172 | |
Lauren Dorice Barris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Scotline Drive, Sagaponack, NY 11962 Phone: 516-680-3172 |