Provider Demographics
NPI:1033673702
Name:REHABILITIES PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:REHABILITIES PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITZI
Authorized Official - Middle Name:MALILAY
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-338-5327
Mailing Address - Street 1:46 FAITH LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6502
Mailing Address - Country:US
Mailing Address - Phone:516-338-5327
Mailing Address - Fax:
Practice Address - Street 1:46 FAITH LN
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6502
Practice Address - Country:US
Practice Address - Phone:516-338-5327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty