# PADMORE OCCUPATIONAL THERAPY, P.C.

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

## Provider details

- **NPI number:** 1073822722
- **Authorized official:** JACKIE PADMORE OTR/L (PRESIDENT)
- **Authorized official phone:** (718) 612-6188

## Contact information

- **Practice address:** 61 W GRAND ST, STE 0C, MOUNT VERNON, NY 10552-2133
- **Practice address phone:** (718) 612-6188
- **Practice address fax:** (866) 352-6711
- **Mailing address:** 61 W GRAND ST, STE 0C, MOUNT VERNON, NY 10552-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | 010811 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 010811 | NY | — |
| 261QR0400X | Rehabilitation Clinic/Center | 0108011 | NY | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 01/09/2012