Organization
PT AND OT FOR SENIOR REHAB AT HOME PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY STEPHEN (VP)
(914) 837-6538
Entity
Organization
Contact information
Practice address
171 KINGS HWY, BROOKLYN, NY 11223-1023
(914) 837-6538
(888) 613-3109
Mailing address
171 KINGS HWY, BROOKLYN, NY 11223-1023
(914) 837-6538
(888) 613-3109
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/16/2018
Last updated
06/27/2024
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