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General NPI Number Information
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NPI Number | 1346853033
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Entity Type | Organization
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Legal Business Name | R.L. PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 1676 PUTNEY ROAD
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City | VALLEY STREAM
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State | NY
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Zip | 11580
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Country | US
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Telephone | 516-728-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 22919 MERRICK BLVD
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City | LAURELTON
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State | NY
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Zip | 11413-2108
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Country | US
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Telephone | 516-728-7055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL LOUISSAINT
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Credential | DPT
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Telephone | 516-728-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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