Ignite Rehab Pt PC

NPI #1003263534 in Brooklyn, New York

Provider Information

NPI Number: 1003263534
Entity Type: Organization
Organization Name: Ignite Rehab Pt PC
Primary Specialty: Physical Therapist
Enumeration Date: May 13, 2016
Last Updated: Jan 9, 2018

Practice Location

Address: 3000 OCEAN PKWY APT 2J
City: Brooklyn
State: New York
ZIP Code: 11235-8344
Phone: (718) 714-4650

Authorized Official

Name: DR. ROLAND PAQUEO, DOCTOR OF PT
Title: PT/OWNER
Phone: (718) 714-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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