Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1497824577 |
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| LBN Legal business name | CONCEPT THERAPY PROFESSIONAL CORPORATION | ||||||||
| Authorized official | ARKADIUSZ DEBICKI - (PRESIDENT/OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/06/2006 | ||||||||
| Last updated | 12/07/2022 - About 4 years ago | ||||||||
| Identifiers |
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