Provider Demographics
NPI:1326594227
Name:APPLE REHAB
Entity Type:Organization
Organization Name:APPLE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEUILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-578-1300
Mailing Address - Street 1:3275 MAIN ST APT 104
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-4231
Mailing Address - Country:US
Mailing Address - Phone:718-578-1300
Mailing Address - Fax:
Practice Address - Street 1:3275 MAIN ST APT 104
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-4231
Practice Address - Country:US
Practice Address - Phone:718-578-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004297261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center