# THERAPRO-CORF, LLC

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

## Provider details

- **NPI number:** 1043497571
- **Authorized official:** DR. RAVI TIKOO (CEO)
- **Authorized official phone:** (917) 536-8940

## Contact information

- **Practice address:** 9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
- **Practice address phone:** (201) 869-2701
- **Practice address fax:** (201) 869-2717
- **Mailing address:** 9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
- **Mailing address phone:** (201) 869-2701
- **Mailing address fax:** (201) 869-2717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 04/04/2013