Organization
PAIN REHAB PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY GEEVARUGHESE (OWNER)
(914) 202-7022
Entity
Organization
Contact information
Practice address
4 CONSULATE DR APT 1D, TUCKAHOE, NY 10707-2402
(914) 202-7022
Mailing address
4 CONSULATE DR APT 1D, TUCKAHOE, NY 10707-2402
(914) 202-7022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/19/2023
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