Provider Demographics
NPI:1568620888
Name:FULL RANGE PHYSICAL THERAPY SERVICES, P.C.
Entity Type:Organization
Organization Name:FULL RANGE PHYSICAL THERAPY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:845-223-7438
Mailing Address - Street 1:135 CLOVE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6109
Mailing Address - Country:US
Mailing Address - Phone:845-223-7438
Mailing Address - Fax:845-227-6439
Practice Address - Street 1:135 CLOVE BRANCH RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-6109
Practice Address - Country:US
Practice Address - Phone:845-223-7438
Practice Address - Fax:845-227-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy