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Contact Information

EVOLVING GAIT PHYSICAL THERAPY, P.C.
12 PLATINUM CT
MEDFORD, NY11763-2247
 Phone: 631-320-1111
 Fax: 631-314-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EVOLVING GAIT PHYSICAL THERAPY PC · (Female)

NPI # 1174165377
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2019
Last updated 10/29/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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