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Organization
OPTIMIZED INDEPENDENCE OT PLLC
Active
Organization
OPTIMIZED INDEPENDENCE OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SUEN OTR/L (CO-OWNER/VICE-PRESIDENT)
(917) 749-6635
Entity
Organization
Contact information
Practice address
78 REED DR, ROSLYN, NY 11576-3216
(917) 749-6635
Mailing address
78 REED DR, ROSLYN, NY 11576-3216
(917) 749-6635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017794
NY
225X00000X
Occupational Therapist
019271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326380403
NPPES
—
01
—
1861898538
NPPES
—
Enumeration date
06/23/2017
Last updated
07/21/2022
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