Provider Demographics
NPI:1669710083
Name:EXCEPTIONAL HORIZONS PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:EXCEPTIONAL HORIZONS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:ROTANDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-707-8543
Mailing Address - Street 1:98 PERKS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-3904
Mailing Address - Country:US
Mailing Address - Phone:914-707-8543
Mailing Address - Fax:845-265-5208
Practice Address - Street 1:3182 ROUTE 9
Practice Address - Street 2:SUITE 207
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-3919
Practice Address - Country:US
Practice Address - Phone:914-707-8543
Practice Address - Fax:845-265-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty