Organization
NORTHEAST PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR V TAWALARE PT (OWNER)
(845) 623-6566
Entity
Organization
Contact information
Practice address
275 N MIDDLETOWN RD STE 1B, PEARL RIVER, NY 10965-1191
(845) 623-6566
(845) 623-6556
Mailing address
281 SPRING VALLEY RD, PARK RIDGE, NJ 07656-1017
(845) 623-6566
(845) 623-6556
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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