| NPI | 1447517453 |
|---|---|
| Doing Business As | @HOME THERAPY |
| Entity Type | Organization |
| Authorized Contact | RUSS TAVROFF Owner 718-305-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2019-10-08 |