Organization
ALIVE REHAB INC
Active
Parent organization
ALIVE REHAB INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALIVE REHAB INC
Authorized official
MRS. KERRI-ANN ENGALA AUSTIN DE CASTRO CCC-SLP (CEO/SPEECH-LANGUAGE PATHOLOGIST)
(516) 312-3513
Entity
Organization
Contact information
Practice address
122-48 MILBURN STREET, SPRINGFIELD GARDENS, NY 11413-1033
(516) 312-3513
Mailing address
122-48 MILBURN STREET, SPRINGFIELD GARDENS, NY 11413-1033
(516) 312-3513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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