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NPI Code Detail

MEDICARE: JESSICA MARIE TORRES PT

MEDICARE: JESSICA MARIE TORRES PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist029504NY

General Provider Information

NPI Number : 1740475995
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE TORRES PT
Provider Business Mailing Address
First Line : 150 BAY SHORE RD
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-1711
Country : US
Telephone Number : 631-586-6616
Fax Number : 631-586-6617
Provider Business Practice Location Address
First Line : 150 BAY SHORE RD
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-1711
Country : US
Telephone Number : 631-586-6616
Fax Number : 631-586-6617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 01/21/2019

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Directions to “ JESSICA MARIE TORRES PT” Practice Location

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