NPI 1457758658

Theraquatics LLC

Organisation Preferred Provider Organization Brooklyn, NY

Practice location

Address: 1307 E 21st St, Brooklyn, NY 11210-4510
Phone: (718) 252-3035

Authorised official

Name: Tehila Beth Kahan
Title: Physical Therapist
Phone: (718) 252-3035

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 029438-1 (NY)

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Registry record

NPI: 1457758658
Entity type: Organization
NPI issued: 3 Dec 2014
Record last updated: 3 Dec 2014

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.