| Ilana Dallas, PT | |
|
10 Link Dr, Rockleigh, NJ 07647-2504 | |
| (201) 750-4236 | |
| Not Available |
| Full Name | Ilana Dallas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10 Link Dr, Rockleigh, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144784489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00866900 (New Jersey) | Primary |
| Provider Name | Jewish Home Assisted Living |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548875172 PECOS PAC ID: 9335581198 Enrollment ID: O20240524000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilana Dallas, PT 10 Link Dr, Rockleigh, NJ 07647-2504 Ph: () - | Ilana Dallas, PT 10 Link Dr, Rockleigh, NJ 07647-2504 Ph: (201) 750-4236 |
Deborah Jean O'keefe, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 Link Dr, Rockleigh, NJ 07647 Phone: 201-784-1414 | |
Mrs. Ronit Waisbrod, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Piermont Rd Ste B, Rockleigh, NJ 07647 Phone: 201-750-8310 | |
Julius Deza Ramos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Link Dr, Rockleigh, NJ 07647 Phone: 201-784-1414 |