Provider Demographics
NPI:1952068173
Name:MICHELE RAUER PHYSICAL THERAPY ASSISTANT, P.C.
Entity Type:Organization
Organization Name:MICHELE RAUER PHYSICAL THERAPY ASSISTANT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:RAUER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:631-988-8233
Mailing Address - Street 1:672 S COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-5549
Mailing Address - Country:US
Mailing Address - Phone:631-654-5282
Mailing Address - Fax:631-654-5253
Practice Address - Street 1:672 S COUNTRY RD
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-5549
Practice Address - Country:US
Practice Address - Phone:631-654-5282
Practice Address - Fax:631-654-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy