Chl Rehab LLC
Physical Therapist in Mineola, NY. Organization (NPI-2).
NPI number1790144285
StatusActive
Last updated in NPPESFeb 12, 2016
Details
- NPI
- 1790144285
- Entity type
- Organization (NPI-2)
- Legal business name
- Chl Rehab LLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2016
- Last updated
- Feb 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 036145 | NY | Yes |
Practice location
432 1st StMineola, NY 11501-3616
Phone 201-213-3939
Mailing address
432 1st StMineola, NY 11501-3616
Phone 201-213-3939
Authorized official
Changhun Lee
President
2012133939
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