# MATILDA ABIOLA REHAB CARE LLC

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

## Provider details

- **NPI number:** 1760938088
- **Authorized official:** MRS. MATILDA ABIMBOLA ABIOLA (REGISTERED PHYSICAL THERAPIST)
- **Authorized official phone:** (917) 412-0190

## Contact information

- **Practice address:** 1592 E91ST STREET, BROOKLYN, NY 11236-5218
- **Practice address phone:** (917) 412-0190
- **Practice address fax:** (866) 230-0943
- **Mailing address:** 1592 E 91ST ST, BROOKLYN, NY 11236-5218
- **Mailing address phone:** (917) 412-0190
- **Mailing address fax:** (866) 230-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 015651 | NY | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016