Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 032226-1 | NY |
NPI | 1114211562 |
---|---|
Provider Name | Rachael Rimler |
First Address | Flushing, NY 11367 |
Second Address | Flushing, NY 11367-1713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 02/06/2011 |