Healthcare Provider Details

I. General information

NPI: 1396842811
Provider Name (Legal Business Name): REHABILITATION TODAY SERVICES FOR PSYCHOLOGY ET AL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 MAIN STREET REHABILITATION TODAY SERVICES
OLEAN NY
14760
US

IV. Provider business mailing address

2416 CONSTITUTION AVE REHABILITATION TODAY SERVICES PLLC
OLEAN NY
14760
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-3550
  • Fax: 716-372-3555
Mailing address:
  • Phone: 716-372-2808
  • Fax: 716-372-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEATH DUANE BROWN
Title or Position: CEO MEMBER
Credential: PT
Phone: 716-372-2808