Organization
LADYBIRD CLINICAL REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADYBIRD MANANGAN REYES B.S.P.T. (PRESIDENT)
(347) 810-9742
Entity
Organization
Contact information
Practice address
3167 E TREMONT AVE # B, BRONX, NY 10461-5718
(347) 810-9742
(347) 810-9743
Mailing address
14 PARK AVE, NEW CITY, NY 10956-1108
(845) 354-2380
(845) 354-2380
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
017803
NY
Other
Enumeration date
10/21/2011
Last updated
02/21/2012
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