Organization
HOME BASE THERAPY LLC
Active
Other names
Home Base Rehab, Home Base Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAVA POLATSEK OTR/L (MANAGING MEMBER)
(845) 517-7802
Entity
Organization
Contact information
Practice address
194 WILDER ST, HILLSIDE, NJ 07205-3128
(845) 517-7802
Mailing address
194 WILDER ST, HILLSIDE, NJ 07205-3128
(845) 517-7802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/11/2022
Last updated
09/09/2022
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