# RYDERS REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1639502321
- **Authorized official:** MR. FRANK J RACCIO JR. PTA, MS, LNHA (DIRECTOR OF REHABILITATION)
- **Authorized official phone:** (203) 870-2022

## Contact information

- **Practice address:** 999 ORONOQUE LN, FIRST FLOOR, STRATFORD, CT 06614-1379
- **Practice address phone:** (203) 870-2022
- **Practice address fax:** (203) 386-1144
- **Mailing address:** 999 ORONOQUE LN, FIRST FLOOR, STRATFORD, CT 06614-1379
- **Mailing address phone:** (203) 870-2022
- **Mailing address fax:** (203) 386-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 04/16/2015