NPI | 1679658462 |
---|---|
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 22936) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-01-15 |