Provider Demographics
NPI:1275872608
Name:RALL, LAUREN F (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:F
Last Name:RALL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SUTTER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4009
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:76 9TH AVE
Practice Address - Street 2:SUITE 810
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4962
Practice Address - Country:US
Practice Address - Phone:212-624-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0350371225100000X
NJ40QA01483600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist