Organization
FUNCTIONAL THERAPEUTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRUCE (OWNER)
(646) 409-8275
Entity
Organization
Contact information
Practice address
324 CASTLE HILL AVE FL 2, BRONX, NY 10473-1600
(646) 409-8275
Mailing address
324 CASTLE HILL AVE FL 2, BRONX, NY 10473-1600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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