Organization
RISE & SHINE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE GRAZIANO M.A. CCC- SLP (SPEECH LANGUAGE PATHOLOGIST)
(917) 622-1842
Entity
Organization
Contact information
Practice address
266A MATCHAPONIX AVE, MONROE, NJ 08831-4096
(917) 622-1842
Mailing address
266A MATCHAPONIX AVE, MONROE, NJ 08831-4096
(917) 622-1842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003126871
SOLE PROPRIETOR
NY
Enumeration date
09/22/2023
Last updated
09/22/2023
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