Organization
HOLISTIC FUNCTION AND REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN M SECRETO OT (PRESIDENT / EMPLOYEE)
(631) 921-1215
Entity
Organization
Contact information
Practice address
209 POINTE CIR N, CORAM, NY 11727-1543
(631) 921-1215
Mailing address
209 POINTE CIR N, CORAM, NY 11727-1543
(631) 921-1215
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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