| NPI | 1215933775 |
|---|---|
| Doing Business As | THERAPRO, LLC |
| Entity Type | Organization |
| Authorized Contact | SPENCER JASON MALKIN CEO 917-815-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 063647) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 22872) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-01-15 |