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NPI Code Detail

MEDICARE: PT AND OT FOR SENIOR REHAB AT HOME PLLC

MEDICARE: PT AND OT FOR SENIOR REHAB AT HOME PLLC
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
1235Z00000XSpeech-Language Pathologist
2225XG0600XGerontology Occupational Therapist
32251G0304XGeriatric Physical Therapist

General Provider Information

NPI Number : 1811463003
Entity Type Code : Organization
Provider Name (Legal Business Name) : PT AND OT FOR SENIOR REHAB AT HOME PLLC
Provider Business Mailing Address
First Line : 171 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1023
Country : US
Telephone Number : 914-837-6538
Fax Number : 888-613-3109
Provider Business Practice Location Address
First Line : 171 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1023
Country : US
Telephone Number : 914-837-6538
Fax Number : 888-613-3109
Authorized Official
Title or Position : VP
Name : DAISY STEPHEN
Credential :
Telephone Number : 914-837-6538
Provider Enumeration Date : 10/16/2018
Last Update Date : 06/27/2024

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Directions to “PT AND OT FOR SENIOR REHAB AT HOME PLLC ” Practice Location

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