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General NPI Number Information
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NPI Number | 1659505287
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE THERAPY SERVICES PT & OT PLLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 33 PIRATE ST
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City | RIVERHEAD
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State | NY
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Zip | 11901-1028
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Country | US
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Telephone | 516-885-2236
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Fax | 631-284-3982
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Provider Business Mailing Address
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Address Line | 33 PIRATE ST
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City | RIVERHEAD
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State | NY
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Zip | 11901-1028
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Country | US
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Telephone | 516-885-2236
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Fax | 631-284-3982
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. STEVEN T ZACHARSKI
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Credential | DPT
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Telephone | 631-338-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0246091
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 0112521
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License Number State | NY
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