Basic Information
| Provider Information | |||||||||
| NPI: | 1881914703 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERAPY FOR ALL PT PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 375 DEER PARK AVE | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | BABYLON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117022355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313216303 | ||||||||
| FaxNumber: | 6313216317 | ||||||||
| Practice Location | |||||||||
| Address1: | 375 DEER PARK AVE | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | BABYLON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117022355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313216303 | ||||||||
| FaxNumber: | 6313216317 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2010 | ||||||||
| LastUpdateDate: | 06/02/2010 | ||||||||
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| AuthorizedOfficialLastName: | FOSCHI | ||||||||
| AuthorizedOfficialFirstName: | SANDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6313216303 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MSPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 010474 | NY | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.