Provider Demographics
NPI:1417467879
Name:ONECALLTHERAPY,LLC
Entity Type:Organization
Organization Name:ONECALLTHERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-395-7077
Mailing Address - Street 1:193 N PARKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:KILLINGWORTH
Mailing Address - State:CT
Mailing Address - Zip Code:06419-1124
Mailing Address - Country:US
Mailing Address - Phone:860-575-2267
Mailing Address - Fax:
Practice Address - Street 1:193 N PARKER HILL RD
Practice Address - Street 2:
Practice Address - City:KILLINGWORTH
Practice Address - State:CT
Practice Address - Zip Code:06419-1124
Practice Address - Country:US
Practice Address - Phone:860-395-7077
Practice Address - Fax:860-752-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation