Provider Demographics
NPI:1568824779
Name:ROCKLAND PHYSICAL THERAPY & WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:ROCKLAND PHYSICAL THERAPY & WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:978-305-7374
Mailing Address - Street 1:26 E. WATER STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-1442
Mailing Address - Country:US
Mailing Address - Phone:978-305-7374
Mailing Address - Fax:781-899-0187
Practice Address - Street 1:26 E WATER ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-1883
Practice Address - Country:US
Practice Address - Phone:978-305-7374
Practice Address - Fax:781-899-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-26
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1023261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy