# NORTHBOUND OT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003448648
- **Authorized official:** MR. ANATOLY PIKMAN OTR/L (PRESIDENT)
- **Authorized official phone:** (212) 464-8365

## Contact information

- **Practice address:** 702 KATHLEEN PL APT 4C, BROOKLYN, NY 11235-5143
- **Practice address phone:** (212) 464-8365
- **Practice address fax:** (347) 587-1915
- **Mailing address:** 702 KATHLEEN PL APT 4C, BROOKLYN, NY 11235-5143
- **Mailing address phone:** (212) 464-8365
- **Mailing address fax:** (347) 587-1915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 08/08/2022