Rise Up Rehab Physical Therapy Pllc | |
347 Flushing Ave, Unit 702, Brooklyn, NY 11205 | |
(347) 352-2204 | |
(929) 473-2327 |
Full Name | Rise Up Rehab Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 347 Flushing Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386253516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Peabro Balboa Cando |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174000624 PECOS PAC ID: 5193063014 Enrollment ID: I20190219000204 |
Provider Name | Roxanne Ayag Diaz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487115481 PECOS PAC ID: 0749681583 Enrollment ID: I20210630001706 |
Mailing Address | Practice Location Address |
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Rise Up Rehab Physical Therapy Pllc 24 Kastal Dr, Ridge, NY 11961-1932 Ph: (347) 352-2204 | Rise Up Rehab Physical Therapy Pllc 347 Flushing Ave, Unit 702, Brooklyn, NY 11205 Ph: (347) 352-2204 |
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