NPI 1407022817

Theradynamics Physical Rehab

Organisation Exclusive Provider Organization Bronx, NY

Practice location

Address: 3871 Sedgwick Ave Suite 1b, Bronx, NY 10463-4422
Phone: (718) 548-1212
Fax: (718) 548-1900

Authorised official

Name: Guerline Jean
Title: Otr/L
Phone: (718) 548-1212

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 012901 (NY)

Other Exclusive Provider Organization providers in New York →

Registry record

NPI: 1407022817
Entity type: Organization
NPI issued: 6 May 2008
Record last updated: 6 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.