Healthcare Provider Details
I. General information
NPI: 1780883470
Provider Name (Legal Business Name): REHAB RESOURCES UNLIMITED HAND OCCUPATIONAL AND PHYSICAL THERAPY,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
172 NORTH HIGHLAND AVENUE
OSSINING NY
10562
US
IV. Provider business mailing address
172 NORTH HIGHLAND AVENUE
OSSINING NY
10562
US
V. Phone/Fax
- Phone: 914-747-0011
- Fax: 914-944-8170
- Phone: 914-747-0011
- Fax: 914-944-8170
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 0148961 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 0062041 |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
JOSE
P
TERRAZOLA
II
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 914-747-0011