Organization
THERAHEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE CAROLINE THEOGENE DPT (DOCTOR OF PHYSICAL THERAPY)
(516) 477-6573
Entity
Organization
Contact information
Practice address
31 UNION ST, VALLEY STREAM, NY 11580-5211
(516) 477-6573
Mailing address
31 UNION ST, VALLEY STREAM, NY 11580-5211
(516) 477-6573
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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