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NPI Code Detail

MEDICARE: MILLBROOK PHYSICAL THERAPY PC

MEDICARE: MILLBROOK PHYSICAL THERAPY PC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1962709428
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLBROOK PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 2 FRONT ST
Second Line : PO BOX 1464
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number : 845-677-5021
Fax Number : 845-677-3117
Provider Business Practice Location Address
First Line : 2 FRONT ST
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number : 845-677-5021
Fax Number : 845-677-3117
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : WILLIAM S BREMILLER
Credential : MPT
Telephone Number : 845-677-5021
Provider Enumeration Date : 02/18/2011
Last Update Date : 05/02/2011

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Directions to “MILLBROOK PHYSICAL THERAPY PC ” Practice Location

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