Provider Demographics
NPI:1780883470
Name:REHAB RESOURCES UNLIMITED HAND OCCUPATIONAL AND PHYSICAL THERAPY,PLLC
Entity type:Organization
Organization Name:REHAB RESOURCES UNLIMITED HAND OCCUPATIONAL AND PHYSICAL THERAPY,PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TERRAZOLA
Authorized Official - Suffix:II
Authorized Official - Credentials:PT
Authorized Official - Phone:914-747-0011
Mailing Address - Street 1:172 NORTH HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562
Mailing Address - Country:US
Mailing Address - Phone:914-747-0011
Mailing Address - Fax:914-944-8170
Practice Address - Street 1:172 NORTH HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562
Practice Address - Country:US
Practice Address - Phone:914-747-0011
Practice Address - Fax:914-944-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0062041225X00000X
NY0148961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ30E91Medicare PIN