Provider Demographics
NPI:1306092259
Name:HARLEM VALLEY PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:HARLEM VALLEY PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE-RUDE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-877-0526
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522-0058
Mailing Address - Country:US
Mailing Address - Phone:845-877-0526
Mailing Address - Fax:
Practice Address - Street 1:3156 ROUTE 22
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522-5950
Practice Address - Country:US
Practice Address - Phone:845-877-0526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty