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Organization
JASPER REHAB LLC
Active
Organization
JASPER REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGESH MAKVANA (VP OF CLINICAL OPERATIOMS)
(929) 328-6432
Entity
Organization
Contact information
Practice address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(929) 328-6432
Mailing address
131 MARINA POINTE DR, EAST ROCKAWAY, NY 11518-2067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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