PROTHERAPY REHABILITATION OT, PT, SLP, PLLC
Ambulatory Health at Tremont Ave, Bronx, NY

License number
New York 012509
Category
Ambulatory Health
Type
Hearing and Speech
License number
New York 022020
Category
Ambulatory Health
Type
Physical Therapy
License number
New York 010144
Category
Ambulatory Health
Type
Rehabilitation
Owner
Name: MS. RUSSALETTE MAGBANUA MPS, OTR/L, CHT
Title: CLINICAL DIRECTOR
Phone: (917) 459-3695
Address
Address
866 E Tremont Ave, Bronx, NY 10460
National Provider ID: 1396022752
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROTHERAPY REHABILITATION OT, PT, SLP, PLLC

866 E Tremont Ave, Bronx, NY 10460

Industry:
Health Practitioner's Office, Specialty Outpatient Clinic
Doing business as:
Protherapy Rehabilitation Ot Pt Slp P
Registration:
Oct 25, 2011
State ID:
4157173
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Medical Director, Principal:
Russalette Magbanua (Medical Director, Principal)

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