Healthcare Provider Details

I. General information

NPI: 1760007256
Provider Name (Legal Business Name): TRAIN, PLAY & RECOVER PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 GROVE ST STE 14
MONTCLAIR NJ
07042-4053
US

IV. Provider business mailing address

105 GROVE ST STE 14
MONTCLAIR NJ
07042-4053
US

V. Phone/Fax

Practice location:
  • Phone: 917-587-0407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROSANNA LYNN STRELNICK
Title or Position: CO OWNER, ACUPUNCTURIST
Credential: DACM
Phone: 917-587-0407