At Home Rehab LLC
Clinic/Center, Physical Therapy in Poughkeepsie, NY. Organization (NPI-2).
NPI number1003672379
StatusActive
Last updated in NPPESAug 18, 2024
Details
- NPI
- 1003672379
- Entity type
- Organization (NPI-2)
- Legal business name
- At Home Rehab LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Aug 18, 2024
- Last updated
- Aug 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | – | – | |
| 251E00000X | Home Health | – | – |
Other names
- At Home Rehab LLC (Doing Business As)
Practice location
3 Dawson CtPoughkeepsie, NY 12603-6280
Phone 914-484-8010
Mailing address
3 Dawson CtPoughkeepsie, NY 12603-6280
Phone 914-484-8010
Authorized official
Ramonchito Paulin
Owner/Manager
9144848010
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