| Devine Physical Therapy, Acupuncture And Massage Therapy, Pllc | |
| 
					10 Fort Salonga Rd Ste 2a Fort Salonga NY 11768-1400  | |
| (631) 320-1100 | |
| (631) 343-7174 | 
| Full Name | Devine Physical Therapy, Acupuncture And Massage Therapy, Pllc | 
|---|---|
| Speciality | Clinic/center - Multi-specialty | 
| Location | 10 Fort Salonga Rd Ste 2a, Fort Salonga, New York | 
| Authorized Official Name and Position | Jennifer Olsen (MANAGER) | 
| Authorized Official Contact | 6313201100 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Devine Physical Therapy, Acupuncture And Massage Therapy, Pllc Pmb 373 186 Seven Farms Drive, Ste F Daniel Island SC 29492 Ph: (516) 662-9962  | Devine Physical Therapy, Acupuncture And Massage Therapy, Pllc 10 Fort Salonga Rd Ste 2a Fort Salonga NY 11768-1400 Ph: (631) 320-1100  | 
| NPI Number | 1952830960 | 
|---|---|
| Provider Enumeration Date | 06/05/2017 | 
| Last Update Date | 05/03/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952830960 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |