# OUTPATIENT MOBILE SOLUTIONS, INC.

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

## Provider details

- **NPI number:** 1114484987
- **Authorized official:** DR. TANYA LEE CLARK OTD, OTR/L (INCORPORATOR)
- **Authorized official phone:** (860) 497-0239

## Contact information

- **Practice address:** 113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
- **Practice address phone:** (607) 278-6209
- **Mailing address:** 113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
- **Mailing address phone:** (860) 497-0239
- **Mailing address fax:** (860) 497-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 04/16/2020