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Organization
CROWN HEIGHTS P.T., O.T AND SLP, PLLC
Active
Organization
CROWN HEIGHTS P.T., O.T AND SLP, PLLC
Active
Other names
Milestones
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVORAH L DAVIDSON (EXECUTIVE DIRECTOR)
(718) 915-1961
Entity
Organization
Contact information
Practice address
571 E NEW YORK AVE OFC B, BROOKLYN, NY 11225-4592
(347) 663-9027
Mailing address
1577 CARROLL ST APT 3G, BROOKLYN, NY 11213-4589
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/03/2010
Last updated
09/15/2010
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