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NPI Code Detail

MEDICARE: ATS REHAB OT & PT & SLP PLLC

MEDICARE: ATS REHAB OT & PT & SLP 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
1225100000XPhysical Therapist
2235Z00000XSpeech-Language Pathologist
3225X00000XOccupational Therapist

General Provider Information

NPI Number : 1841711454
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATS REHAB OT & PT & SLP PLLC
Provider Business Mailing Address
First Line : 1477 54TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4278
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 274 W BROADWAY
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 718-809-4370
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : RACHEL LERNER
Credential :
Telephone Number : 718-809-4370
Provider Enumeration Date : 07/05/2017
Last Update Date : 07/11/2017

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Directions to “ATS REHAB OT & PT & SLP PLLC ” Practice Location

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