Organization
THERADYNAMICS PHYSICAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUERLINE JEAN (OTR/L)
(718) 548-1212
Entity
Organization
Contact information
Practice address
3871 SEDGWICK AVE, SUITE 1B, BRONX, NY 10463-4422
(718) 548-1212
(718) 548-1900
Mailing address
3871 SEDGWICK AVE, SUITE 1B, BRONX, NY 10463-4422
(718) 548-1212
(718) 548-1900
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
012901
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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