Provider Demographics
NPI:1144502584
Name:TRUE TOUCH REHABILITATION PT, PLLC
Entity type:Organization
Organization Name:TRUE TOUCH REHABILITATION PT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYLENE
Authorized Official - Middle Name:ABALOS
Authorized Official - Last Name:MOUSTAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-830-6639
Mailing Address - Street 1:25-611 BARKER ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1626
Mailing Address - Country:US
Mailing Address - Phone:914-830-6639
Mailing Address - Fax:
Practice Address - Street 1:25-611 BARKER ST
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1626
Practice Address - Country:US
Practice Address - Phone:914-830-6639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty