# CAMACHO'S PURPOSEFUL OCCUPATIONAL THERAPY, P.C.

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

## Provider details

- **NPI number:** 1083967525
- **Authorized official:** TRACY CAMACHO OTR/L (PRESIDENT)
- **Authorized official phone:** (917) 679-9546

## Contact information

- **Practice address:** 1121 ASHLEY DR, VALLEY STREAM, NY 11580-2431
- **Practice address phone:** (917) 679-9546
- **Mailing address:** 1121 ASHLEY DR, VALLEY STREAM, NY 11580-2431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 016784 | NY | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 10/22/2012