Organization
REHABILITATION HOUSECALL PT & OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL F NOBLE JR. OT (OWNER)
(917) 699-6042
Entity
Organization
Contact information
Practice address
16 ARLENE ST, STATEN ISLAND, NY 10314-2702
(917) 699-6042
Mailing address
16 ARLENE ST, STATEN ISLAND, NY 10314-2702
(917) 699-6042
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017223-01
LISCENCE
NY
Enumeration date
11/11/2020
Last updated
11/11/2020
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