1245 76TH ST, BROOKLYN, 11228, NEW YORK
| Entity Name | PROVIDER REHAB OT, P.C. |
| Entity Number | 4821110 |
| Status | ACTIVE |
| Incorporation Date | 17th September 2015 |
| Dos Process Address | 3030 EMMONS AVE., APT. 5T, BROOKLYN, 11235, NEW YORK |
| Jurisdiction | NEW YORK |
| County | KINGS |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |