Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI # | 1376161778 |
| LBN Legal business name | SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC |
| Authorized official | DANIEL VAKNIN - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/12/2020 |
| Last updated | 12/08/2022 - About 3 years ago |
| Identifiers | n/a |
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