# HUDSON PREMIERE REHABILITATION & SPORTS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033477450
- **Authorized official:** SANDRA GAIL F FRAYNA PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (917) 733-7763

## Contact information

- **Practice address:** 4800 BROADWAY, SUITE 212, UNION CITY, NJ 07087-6556
- **Practice address phone:** (917) 733-7763
- **Mailing address:** 4800 BROADWAY, SUITE 212, UNION CITY, NJ 07087-6556
- **Mailing address phone:** (917) 733-7763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01224200 | NJ | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 06/18/2012